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Minnesota 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
$173.78 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $158.49 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $794.33 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $323.59 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $588.84 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $457.09 / $660.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $562.34 / $1,096.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $389.05 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $245.47 / $354.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $245.47 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,047.13 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $251.19 / $524.81