go back

Texas 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
$57.54 / $72.44 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $75.86 / $107.15
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $74.13 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $81.28 / $117.49
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $562.34 / $562.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $83.18 / $125.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $83.18 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $69.18 / $104.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10