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Pennsylvania rates for HCPCS G0288

Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $37.15 / $107.15
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $45.71 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $63.10 / $93.33
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $77.62 / $302.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $38.02 / $107.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $100.00 / $549.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $38.02 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $46.77 / $346.74