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Alaska rates for HCPCS 96913

Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and dressings)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $204.17 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $407.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $407.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $371.54 / $467.74
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $616.60 / $660.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $204.17 / $407.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $251.19 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $323.59 / $489.78