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New Hampshire rates for HCPCS 96912

Photochemotherapy; psoralens and ultraviolet A (PUVA)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.91 / $96.38 / $111.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $132.26 / $219.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.23 / $163.44 / $281.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.35 / $213.97 / $340.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.83 / $162.63 / $344.82
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.11 / $89.22 / $113.55