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Pennsylvania rates for HCPCS G0372

Physician service required to establish and document the need for a power mobility device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $9.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $8.34 / $10.65
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
$8.69 / $9.02 / $16.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.43 / $17.43 / $17.43
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
$18.94 / $18.94 / $18.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $12.08 / $17.77
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $9.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $8.74 / $11.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.40 / $17.70 / $24.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.43 / $17.43 / $17.43
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
$7.26 / $8.60 / $12.77
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $8.60 / $8.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.18 / $11.03 / $20.91