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Oregon 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
$204.17 / $380.19 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $154.88 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $281.84 / $426.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $309.03 / $380.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $213.80 / $346.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $263.03 / $389.05
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $257.04 / $309.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $218.78 / $323.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $263.03 / $416.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,258.93 / $1,548.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $309.03 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,513.56 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $251.19 / $398.11