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Connecticut 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
$186.21 / $724.44 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $186.21 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $169.82 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $660.69 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $204.17 / $426.58
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $194.98 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $186.21 / $323.59