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Idaho 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
$102.33 / $169.82 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $501.19 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $269.15 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $204.17 / $257.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $186.21 / $234.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $257.04 / $295.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $891.25 / $1,288.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $263.03 / $331.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $138.04 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $177.83 / $245.47