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Missouri rates for HCPCS 96910

Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.06 / $121.79 / $121.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.42 / $113.87 / $220.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.94 / $145.94 / $235.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.84 / $69.80 / $159.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.34 / $199.40 / $241.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.92 / $128.63 / $227.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.66 / $141.82 / $276.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.03 / $141.93 / $758.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.84 / $198.50 / $383.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.19 / $129.74 / $273.74