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Pennsylvania rates for HCPCS A0425

Ground mileage, per statute mile

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.39 / $20.80 / $21.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.52 / $7.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $11.21 / $13.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.25 / $8.72 / $23.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $5.00 / $8.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.75 / $28.75 / $34.77
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.39 / $16.39 / $20.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $5.04 / $9.50
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.54 / $783.54 / $815.68
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $7.82 / $23.05
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $6.65 / $8.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $6.34 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $7.62 / $10.00