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North Dakota 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
$118.00 / $118.00 / $118.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.42 / $113.87 / $202.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.82 / $249.76 / $295.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $293.26 / $378.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.19 / $118.00 / $200.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.17 / $135.13 / $758.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.24 / $115.24 / $115.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.73 / $143.94 / $283.25