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Pennsylvania rates for HCPCS G0490

Face-to-face home health nursing visit by a rural health clinic (RHC) or federally qualified health center (FQHC) in an area with a shortage of home health agencies; (services limited to RN or LPN only)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $25.47 / $33.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.19 / $155.19 / $155.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $25.47 / $33.79
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.19 / $155.19 / $155.19