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Tennessee 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
$134.90 / $275.42 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $147.91 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $354.81 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $158.49 / $234.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,288.25 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $141.25 / $234.42