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Louisiana 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 / $181.97 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $158.49 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $426.58 / $776.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $134.90 / $144.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $151.36 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $645.65 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $128.82 / $204.17