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Utah rates for HCPCS 96910

Photochemotx Tar&Uvb/Petrolatum/Uvb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.98 / $77.98 / $77.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.36 / $95.45 / $238.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.12 / $99.57 / $181.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.90 / $86.85 / $113.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.09 / $116.32 / $169.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.18 / $136.16 / $151.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.24 / $109.63 / $169.27