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Pennsylvania 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 $26 · 10th–90th $11$810%10%20%10th90th$26Professionalmedian $4 · 10th–90th $3$110%20%10th90th$4$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $40.74 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $10.72
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $23.99 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $8.71 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $13.80 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.63
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $16.60 / $50.12
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $11.22 / $19.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $47.86 / $67.61
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $15.85 / $16.98
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $8.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $8.91 / $14.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $9.33 / $11.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $11.22 / $13.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $4.57 / $10.47