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Pennsylvania rates for HCPCS A0422

Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation

Facilitymedian $162 · 10th–90th $162–$9,1200%20%40%90th$162Professionalmedian $28 · 10th–90th $21–$280%50%10th$28$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $28.18 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $28.18 / $28.18
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $9,120.11 / $9,120.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $31.62 / $77.62