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Maryland rates for HCPCS 96912

Photochemotherapy; psoralens and ultraviolet A (PUVA)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.85 / $103.77 / $104.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.40 / $102.67 / $118.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.47 / $108.19 / $184.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.81 / $120.62 / $229.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.51 / $98.72 / $182.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.88 / $114.88 / $119.67