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Idaho rates for HCPCS 96904

Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.28 / $93.06 / $103.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.02 / $97.29 / $113.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.21 / $115.87 / $128.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $102.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.03 / $102.48 / $118.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.15 / $92.50 / $121.22