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Pennsylvania rates for HCPCS G0117

Glaucoma Screening For High Risk Patients Furnished By An Optometrist Or Ophthalmologist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.53 / $55.54 / $71.59
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.19 / $63.50 / $100.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $56.24 / $56.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.45 / $97.30 / $97.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.53 / $55.54 / $73.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.00 / $62.00 / $101.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $56.24 / $56.24
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.95 / $60.06 / $65.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.72 / $53.78 / $87.00