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Illinois 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
$158.49 / $194.98 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $154.88 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $588.84 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $707.95 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $173.78 / $269.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $194.98 / $269.15
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $181.97 / $194.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $977.24 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $147.91 / $269.15