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South Carolina rates for HCPCS 96910

Photochemotx Tar&Uvb/Petrolatum/Uvb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.11 / $116.11 / $116.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.42 / $112.33 / $122.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.27 / $94.27 / $111.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.61 / $123.01 / $208.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $43.35 / $122.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.63 / $53.63 / $53.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.15 / $84.07 / $153.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $89.16 / $133.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.37 / $96.74 / $131.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.45 / $289.08 / $381.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.25 / $100.61 / $158.60