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Pennsylvania rates for HCPCS G0250

Physician review, interpretation, and patient management of home INR testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include four tests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.43 / $7.43 / $9.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $8.36 / $14.95
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,459.92 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $9.03 / $17.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.01 / $10.01 / $10.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.89 / $18.89 / $18.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $12.66 / $17.82
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $9.19 / $11.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.43 / $7.43 / $9.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $9.26 / $26.73
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.00 / $11.00 / $11.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $14.70 / $20.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.01 / $10.01 / $10.01
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.61 / $8.61 / $8.94
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $8.61 / $8.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $9.60 / $16.97