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Pennsylvania rates for HCPCS G0420

Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per 1 hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.87 / $100.87 / $123.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.34 / $104.68 / $123.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.85 / $104.85 / $151.37
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
$108.28 / $112.36 / $201.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.10 / $124.10 / $124.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.42 / $96.42 / $96.42
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.21 / $236.21 / $236.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.20 / $158.40 / $221.43
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.77 / $109.77 / $111.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.87 / $100.87 / $123.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.76 / $107.65 / $196.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.00 / $212.60 / $279.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.10 / $124.10 / $124.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.42 / $96.42 / $96.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.07 / $106.83 / $106.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.19 / $106.83 / $111.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.57 / $119.99 / $209.97