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Pennsylvania rates for HCPCS A4616

Tubing (oxygen), per foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.05 / $0.07
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.08 / $0.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.06
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.10 / $0.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.05 / $0.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.68
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.08
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.04 / $0.08