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North Dakota 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 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $165.96 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $323.59 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $338.84 / $489.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $181.97 / $331.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $234.42 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $234.42 / $363.08