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New Hampshire 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
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $144.54 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $234.42 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $213.80 / $457.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $288.40 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $229.09 / $512.86
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $204.17