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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
$105.09 / $148.19 / $154.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.53 / $154.72 / $154.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.12 / $354.12 / $354.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.28 / $161.60 / $190.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.20 / $263.17 / $270.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.64 / $144.22 / $204.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.80 / $138.18 / $207.60