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Maine rates for HCPCS 96910

Photochemotx Tar&Uvb/Petrolatum/Uvb

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.42 / $121.92 / $220.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.24 / $133.22 / $205.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.03 / $160.25 / $262.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.68 / $173.34 / $256.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.42 / $121.92 / $223.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.06 / $115.45 / $260.97