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West Virginia rates for HCPCS 96910

Photochemotx Tar&Uvb/Petrolatum/Uvb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.90 / $78.90 / $220.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.42 / $104.16 / $138.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.13 / $121.64 / $149.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.13 / $193.48 / $227.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.72 / $132.72 / $132.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.17 / $127.89 / $162.77
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.54 / $119.54 / $119.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.53 / $166.53 / $166.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.82 / $81.38 / $132.53