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Pennsylvania rates for HCPCS G9685

Physician Service Or Other Qualified Health Care Professional For The Evaluation And Management Of A Beneficiarys Acute Change In Condition In A Nursing Facility. This Service Is For A Demon- Stration Project (Desc Rvsd 1/1/19)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.66 / $151.66 / $151.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.40 / $155.07 / $163.63
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.72 / $192.73 / $367.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.86 / $164.86 / $164.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.66 / $151.66 / $151.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.40 / $155.07 / $171.04
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.86 / $164.86 / $164.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.02 / $183.02 / $220.01
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.02 / $183.02 / $220.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.74 / $253.01 / $336.34