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Missouri 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
$154.88 / $154.88 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $158.49 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $131.83 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $151.36 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $177.83 / $295.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $194.98 / $691.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $181.97 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $1,288.25 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $151.36 / $269.15