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North Carolina 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
$63.39 / $112.33 / $112.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $112.33 / $202.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.43 / $97.43 / $97.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.74 / $72.48 / $162.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.24 / $102.98 / $228.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.09 / $89.16 / $141.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.40 / $63.40 / $63.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.95 / $117.70 / $181.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.12 / $93.47 / $189.40
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.67 / $234.90 / $642.39
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.33 / $758.33 / $995.25