go back

Nebraska 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
$141.25 / $295.12 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $173.78 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,584.89 / $3,162.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $229.09 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $323.59 / $416.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $245.47 / $660.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $251.19 / $977.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $288.40 / $354.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $537.03 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $257.04 / $346.74