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Ohio 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
$138.04 / $194.98 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $144.54 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $112.20 / $199.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $162.18 / $263.03
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $162.18 / $251.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $165.96 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $138.04 / $251.19