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Pennsylvania rates for HCPCS G0219

PET imaging whole body; melanoma for noncovered indications

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,920.00 / $7,209.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.16 / $1,000.00 / $1,500.00
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
$2,237.50 / $2,321.94 / $2,321.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,626.80 / $3,626.80 / $3,808.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.94 / $1,153.94 / $1,382.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $1,920.00 / $7,209.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $2,297.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,808.14 / $3,808.14 / $3,808.14
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.94 / $1,153.94 / $1,382.55