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South Carolina 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
$151.36 / $151.36 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $147.91 / $169.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $630.96 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $134.90 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $131.83 / $208.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $151.36 / $208.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,949.84 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $128.82 / $199.53