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Virginia rates for HCPCS 96912

Photochemotherapy; psoralens and ultraviolet A (PUVA)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.97 / $102.55 / $132.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.09 / $117.62 / $163.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.67 / $102.67 / $118.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.59 / $107.92 / $199.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.17 / $120.62 / $140.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.00 / $128.00 / $219.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.58 / $118.11 / $244.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.46 / $96.25 / $167.38