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Montana rates for HCPCS 96912

Photochemotherapy; psoralens and ultraviolet A (PUVA)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.77 / $112.26 / $541.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.59 / $150.16 / $211.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.87 / $150.16 / $194.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.81 / $162.40 / $177.46