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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
$25.18 / $38.34 / $137.94
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.49 / $46.17 / $66.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.66 / $41.66 / $41.66
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.50 / $69.12 / $92.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $38.22 / $183.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.50 / $503.60 / $595.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.66 / $41.66 / $41.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.07 / $37.85 / $354.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.87 / $46.97 / $328.94