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Maryland rates for HCPCS G0471

Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (SNF) or by a laboratory on behalf of a home health agency (HHA)

Facilitymedian $87 · 10th–90th $3–$980%20%10th90th$87Professionalmedian $5 · 10th–90th $3–$110%20%10th90th$5$2.0$5.0$10.0$20.0$50.0$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
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $7.08 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.31 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $12.59 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $5.25 / $8.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.69 / $7.24
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $5.01 / $16.98