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Pennsylvania rates for HCPCS G0249

Provision of test materials and equipment for home INR monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include four tests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.38 / $93.28 / $316.83
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$22.81 / $22.81 / $22.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.38 / $77.38 / $77.38
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.75 / $62.01 / $152.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.95 / $55.95 / $90.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.11 / $99.11 / $136.34
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.13 / $62.13 / $65.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.02 / $93.28 / $316.83
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$22.81 / $22.81 / $22.81
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.95 / $55.95 / $155.46
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.17 / $63.54 / $111.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.28 / $38.36 / $114.77