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Pennsylvania rates for HCPCS G0186

Destruction Of Localized Lesion Of Choroid (For Example Choroidal Neovascularization); Photocoagulation Feeder Vessel Technique (One Or More Sessions)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.93 / $2,422.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.51 / $529.75 / $726.93
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
$587.73 / $609.91 / $999.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.82 / $540.82 / $540.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.10 / $698.10 / $900.22
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $2,422.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.51 / $551.49 / $1,978.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.82 / $540.82 / $540.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.80 / $574.66 / $867.90
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.80 / $574.66 / $867.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.00 / $1,219.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.03 / $620.22 / $1,103.99