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Missouri rates for HCPCS 96910

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

Facilitymedian $123 · 10th–90th $102–$2400%20%40%10th90th$123Professionalmedian $115 · 10th–90th $71–$2400%10%10th90th$115$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $123.03 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $114.82 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $81.28 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $114.82 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $123.03 / $213.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $147.91 / $275.42
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $144.54 / $758.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $123.03 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $120.23 / $213.80