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New Mexico 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
$208.93 / $208.93 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $162.18 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $173.78 / $251.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $223.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $147.91 / $234.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $181.97 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,778.28 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $190.55 / $245.47