go back

Pennsylvania rates for HCPCS G0294

Noncovered procedure(s) using either no anesthesia or local anesthesia only, in a Medicare qualifying clinical trial, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,264.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $1,544.00 / $7,799.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,427.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $1,544.00 / $7,799.00