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Pennsylvania rates for HCPCS G0426

Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.28 / $120.28 / $120.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.26 / $132.81 / $317.75
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.16 / $160.47 / $244.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.41 / $149.41 / $149.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.76 / $115.76 / $115.76
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.05 / $284.05 / $284.05
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.76 / $195.87 / $355.86
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.63 / $130.41 / $157.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.28 / $120.28 / $120.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.75 / $156.36 / $338.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.10 / $170.00 / $330.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.41 / $149.41 / $149.41
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.76 / $115.76 / $115.76
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.10 / $127.90 / $132.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.67 / $150.90 / $258.77