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Maine 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
$71.63 / $71.98 / $125.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.36 / $80.30 / $129.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.61 / $104.32 / $158.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.03 / $98.28 / $145.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.62 / $81.19 / $126.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.56 / $89.37 / $141.33