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Pennsylvania rates for HCPCS 96912

Photochemotx Psoralens&Ultraviolet Puva

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.97 / $96.59 / $116.51
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.72 / $102.58 / $157.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.71 / $116.66 / $165.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.23 / $99.95 / $173.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.35 / $152.16 / $157.24
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.72 / $101.58 / $157.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.72 / $104.02 / $330.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $89.24 / $149.88
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.95 / $102.76 / $182.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.41 / $95.16 / $104.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.92 / $94.69 / $177.33