go back

Indiana rates for HCPCS 96912

Photochemotherapy; psoralens and ultraviolet A (PUVA)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.72 / $93.50 / $111.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.28 / $52.10 / $73.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.59 / $94.13 / $129.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.58 / $91.32 / $160.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.70 / $91.78 / $151.44