go back

Louisiana 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
$67.23 / $76.25 / $115.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.45 / $64.19 / $106.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.80 / $72.28 / $105.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.63 / $66.17 / $108.63