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Pennsylvania rates for HCPCS G0180

Physician or allowed practitioner certification for Medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians or allowed practitioners to affirm the initial implementation of the plan of care

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.69 / $51.64 / $59.76
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.62 / $54.85 / $161.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.18 / $65.18 / $65.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.91 / $47.91 / $75.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.44 / $54.44 / $59.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.10 / $52.67 / $75.28
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.18 / $65.18 / $65.18
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.91 / $60.00 / $75.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.57 / $50.49 / $51.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.24 / $52.35 / $91.24