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North Carolina 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
$144.54 / $144.54 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $144.54 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $177.83 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $151.36 / $288.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $154.88 / $208.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $128.82 / $251.19
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,288.25