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Utah rates for HCPCS 96912

Photochemotx Psoralens&Ultraviolet Puva

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.90 / $100.15 / $131.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.41 / $112.42 / $154.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.90 / $86.85 / $113.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.48 / $127.20 / $137.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.48 / $98.00 / $140.49