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Pennsylvania rates for HCPCS G0498

Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion

Facilitymedian $1,413 · 10th–90th $427–$1,8200%20%10th90th$1,413Professionalmedian $174 · 10th–90th $151–$2570%50%10th90th$174$1.0$10.0$100.0$1.0K$10.0K

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
$426.58 / $1,412.54 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $173.78 / $251.19
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $2,398.83 / $3,801.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $169.82 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $524.81 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $371.54 / $512.86
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $257.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,047.13 / $1,230.27
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $1,412.54 / $3,311.31
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $741.31 / $1,949.84
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $177.83 / $263.03
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $69.18 / $69.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $77.62 / $169.82
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $77.62 / $257.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $977.24 / $1,122.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $208.93 / $363.08