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Maine 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
$117.49 / $151.36 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $181.97 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $190.55 / $346.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $208.93 / $323.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $208.93 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $186.21 / $323.59