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Colorado rates for HCPCS 96910

Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.54 / $159.58 / $854.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.42 / $110.85 / $202.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.83 / $165.50 / $250.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.70 / $59.70 / $59.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.95 / $137.97 / $184.46
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.07 / $131.35 / $197.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.38 / $170.16 / $294.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.39 / $133.16 / $255.64