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Wisconsin 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)

Facilitymedian $282 · 10th–90th $155$7940%20%10th90th$282Professionalmedian $186 · 10th–90th $135$4570%10%10th90th$186$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $162.18 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $234.42 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $489.78 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $323.59 / $446.68
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $190.55 / $416.87
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $316.23 / $426.58
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $190.55 / $446.68
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $199.53 / $588.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $169.82
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $275.42
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $316.23 / $389.05
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $346.74 / $489.78
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $977.24 / $977.24
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $316.23 / $977.24
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $331.13 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,412.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $199.53 / $478.63