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New York 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
$64.05 / $136.91 / $211.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $95.45 / $220.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.84 / $235.84 / $235.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.69 / $108.90 / $196.52
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.90 / $166.90 / $166.90
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.90 / $166.90 / $166.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.14 / $63.29 / $132.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.73 / $136.71 / $329.21
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $139.88 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.53 / $152.81 / $329.45
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.95 / $107.61 / $215.08
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.60 / $119.43 / $150.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.97 / $75.97 / $97.69
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.33 / $113.45 / $123.67
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.29 / $132.72 / $615.02
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.22 / $139.88 / $301.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $135.76 / $179.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.22 / $127.93 / $263.23
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.05 / $126.05 / $149.49
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.95 / $126.05 / $276.86