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Tennessee 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
$106.48 / $109.74 / $282.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.42 / $109.74 / $202.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.38 / $93.87 / $156.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.62 / $80.05 / $200.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $117.36 / $214.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.67 / $642.39 / $642.39
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.33 / $758.33 / $995.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.37 / $110.08 / $188.50