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Pennsylvania rates for HCPCS 99474

Self-measured blood pressure using a device validated for clinical accuracy; separate self-measurements of two readings one minute apart, twice daily over a 30-day period (minimum of 12 readings), collection of data reported by the patient and/or caregiver to the physician or other qualified health care professional, with report of average systolic and diastolic pressures and subsequent communication of a treatment plan to the patient

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $10.85 / $14.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.53 / $17.29 / $27.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $15.69 / $27.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $25.39 / $34.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $11.51 / $17.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.80 / $30.80 / $30.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.78 / $15.72 / $28.65
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $14.38 / $15.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.14 / $17.54 / $28.87