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New Mexico rates for HCPCS 96912

Photochemotherapy; psoralens and ultraviolet A (PUVA)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.20 / $110.81 / $541.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.54 / $126.50 / $162.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $135.38 / $142.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.52 / $137.63 / $197.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.59 / $137.19 / $182.00