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Arkansas rates for HCPCS 96910

Photochemotx Tar&Uvb/Petrolatum/Uvb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.63 / $99.37 / $131.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.18 / $80.19 / $131.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.52 / $131.52 / $131.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.56 / $54.56 / $54.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.10 / $133.88 / $157.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.62 / $109.62 / $109.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.79 / $53.50 / $65.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.82 / $105.94 / $155.19
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.25 / $151.25 / $151.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.28 / $93.69 / $177.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.34 / $106.53 / $154.25