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Louisiana rates for HCPCS 96910

Photochemotx Tar&Uvb/Petrolatum/Uvb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.04 / $127.04 / $146.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.42 / $125.18 / $202.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.91 / $85.73 / $133.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.97 / $104.47 / $112.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.98 / $112.75 / $167.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.28 / $94.59 / $165.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.56 / $102.33 / $143.26