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Arizona 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
Professional
Modifier
Low / Median / High Price
$131.83 / $158.49 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $363.08 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $131.83 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $141.25 / $269.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $144.54 / $234.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $138.04 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $128.82 / $186.21