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Pennsylvania rates for HCPCS G0446

Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes

Facilitymedian $47 · 10th–90th $47–$470%50%100%$47Professionalmedian $24 · 10th–90th $18–$350%10%20%10th90th$24$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $33.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.11 / $33.88
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $30.90
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $33.88 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $36.31
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $47.86 / $72.44
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $33.88 / $60.26
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $30.20
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $25.12 / $45.71
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $48.98 / $64.57
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $20.42 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $28.84 / $48.98