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Idaho rates for HCPCS 96910

Photochemotx Tar&Uvb/Petrolatum/Uvb

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.42 / $153.56 / $170.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.33 / $160.16 / $192.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.20 / $140.44 / $175.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.34 / $199.75 / $227.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $179.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.27 / $154.29 / $191.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.68 / $177.11 / $199.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.20 / $103.88 / $190.23