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Virginia 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
$144.54 / $158.49 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $154.88 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $194.98 / $275.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $165.96 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $309.03 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $158.49 / $302.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $181.97 / $213.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $147.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $154.88 / $223.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $169.82 / $7,413.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $169.82 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $794.33 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $141.25 / $251.19