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Minnesota rates for HCPCS 96910

Photochemotx Tar&Uvb/Petrolatum/Uvb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.57 / $133.57 / $133.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.76 / $121.70 / $200.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.22 / $181.22 / $385.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.73 / $251.57 / $417.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.58 / $434.77 / $1,045.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.68 / $343.41 / $516.51
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.23 / $397.49 / $823.55
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.34 / $302.95 / $466.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.19 / $179.66 / $250.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.27 / $213.96 / $475.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.21 / $155.19 / $196.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.27 / $185.47 / $436.71