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Connecticut 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
$102.33 / $588.84 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $144.54 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $102.33 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $162.18 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $131.83 / $331.13
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $109.65 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $144.54 / $269.15