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Pennsylvania rates for HCPCS G0473

Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes

Professionalmedian $10 · 10th–90th $8$140%20%10th90th$10$1.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $12.88
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $16.22 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $14.45
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $17.38 / $26.92
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.18 / $23.99
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $14.13
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $22.39 / $23.99
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.30 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.49 / $22.91