go back

Wyoming rates for HCPCS 96910

Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.54 / $132.54 / $132.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.00 / $213.00 / $213.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.77 / $93.53 / $185.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.03 / $189.20 / $223.59