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Idaho rates for HCPCS 96912

Photochemotx Psoralens&Ultraviolet Puva

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.97 / $131.79 / $146.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.02 / $137.91 / $163.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.04 / $170.53 / $192.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $152.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.71 / $150.74 / $170.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.48 / $122.40 / $165.20