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Maine rates for HCPCS 96912

Photochemotherapy; psoralens and ultraviolet A (PUVA)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.77 / $104.16 / $104.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.34 / $114.20 / $189.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.81 / $146.22 / $224.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.84 / $147.16 / $218.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.77 / $109.43 / $121.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.87 / $124.94 / $222.98