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Pennsylvania rates for HCPCS G0166

External counterpulsation, per treatment session

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.86 / $122.01 / $163.69
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.10 / $135.88 / $242.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.28 / $89.28 / $89.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.75 / $148.75 / $158.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.63 / $122.01 / $163.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.00 / $215.30 / $330.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.28 / $89.28 / $89.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $98.61 / $133.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.75 / $138.29 / $218.68