go back

Pennsylvania rates for HCPCS A0428

Bls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.03 / $619.03 / $649.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.00 / $227.58 / $248.95
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.00 / $336.00 / $526.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $250.00 / $640.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $198.51 / $254.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.63 / $503.45 / $1,025.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.03 / $619.03 / $619.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $227.58 / $369.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.34 / $696.34 / $696.34
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $250.00 / $640.64
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $200.00 / $255.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.14 / $258.14 / $271.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.20 / $237.32 / $337.00