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Oklahoma rates for HCPCS 96910

Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B

Facilitymedian $102 · 10th–90th $63–$1480%50%10th90th$102Professionalmedian $115 · 10th–90th $76–$1660%10%20%10th90th$115$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $131.83 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $93.33 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $134.90 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $87.10 / $147.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $109.65 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $107.15 / $758.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $104.71 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $100.00 / $141.25