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Ohio 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
$78.90 / $118.84 / $320.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.42 / $108.04 / $202.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.19 / $94.19 / $99.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.15 / $61.92 / $134.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.51 / $129.38 / $147.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.62 / $139.74 / $170.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.95 / $108.69 / $199.02
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.83 / $86.51 / $187.65
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.20 / $113.86 / $213.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.32 / $108.74 / $157.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.23 / $119.23 / $139.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.24 / $112.45 / $223.23