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Virginia 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
$120.83 / $122.00 / $354.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.76 / $120.82 / $151.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.03 / $138.19 / $191.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.79 / $119.80 / $137.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.76 / $154.08 / $200.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.50 / $114.36 / $234.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.73 / $142.09 / $165.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.42 / $120.83 / $162.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.00 / $103.00 / $207.04
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.63 / $121.45 / $286.25
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.63 / $121.45 / $286.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.58 / $115.90 / $276.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $108.43 / $197.92