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Washington rates for HCPCS 96912

Photochemotherapy; psoralens and ultraviolet A (PUVA)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.15 / $146.55 / $240.76
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.47 / $238.78 / $884.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.41 / $169.19 / $312.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.28 / $182.65 / $277.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.26 / $150.94 / $272.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.47 / $229.03 / $274.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.97 / $186.19 / $265.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.25 / $139.30 / $285.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.36 / $117.36 / $117.36