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Delaware rates for HCPCS 96910

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.76 / $122.48 / $122.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.96 / $61.40 / $118.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.98 / $82.86 / $265.89