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Hawaii 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
$73.42 / $92.34 / $220.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.66 / $162.59 / $195.11
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.35 / $149.28 / $178.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.08 / $156.08 / $182.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.87 / $162.59 / $264.02
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.68 / $157.46 / $171.27