go back

Wisconsin rates for HCPCS 96912

Photochemotherapy; psoralens and ultraviolet A (PUVA)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.15 / $108.29 / $289.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.46 / $164.36 / $347.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.63 / $206.66 / $290.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.89 / $146.37 / $452.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.31 / $89.95 / $197.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.80 / $236.02 / $327.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.52 / $432.50 / $650.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.96 / $353.96 / $353.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.52 / $143.51 / $358.76