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Pennsylvania rates for HCPCS A0436

Rotary Wing Air Mileage Per Statute Mile

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.59 / $133.59 / $133.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $44.98 / $44.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $125.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $25.00 / $253.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.59 / $133.59 / $133.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $126.00 / $1,112.20
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,848.01 / $7,848.01 / $7,848.01
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $125.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $253.69
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.72 / $24.72 / $27.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.68 / $23.83 / $104.00