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Arkansas 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
$104.71 / $138.04 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $151.36 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $263.03 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $144.54 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $645.65 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $131.83 / $199.53