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Indiana 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
$147.91 / $147.91 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $144.54 / $213.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $1,258.93 / $1,659.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $70.79 / $120.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $151.36 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $131.83 / $208.93