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Rhode Island 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
$382.00 / $382.00 / $382.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $75.05 / $121.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.48 / $119.38 / $132.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.17 / $123.73 / $142.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.81 / $253.81 / $253.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.78 / $142.07 / $263.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.60 / $124.60 / $124.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.40 / $116.99 / $198.61