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Pennsylvania 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
$65.43 / $74.20 / $125.01
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.25 / $65.64 / $111.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.06 / $76.55 / $130.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.97 / $101.53 / $104.89
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.72 / $68.72 / $68.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.23 / $78.70 / $233.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.40 / $86.40 / $94.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.39 / $77.30 / $143.81
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.90 / $66.39 / $73.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.47 / $68.54 / $122.25