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New Jersey 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
$75.36 / $75.36 / $222.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $76.77 / $170.74
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.10 / $146.27 / $284.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.20 / $147.96 / $426.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.04 / $85.03 / $199.64
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.53 / $166.77 / $182.17
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.41 / $256.30 / $313.14
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.34 / $119.59 / $178.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.57 / $207.16 / $249.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.45 / $101.06 / $230.73