go back

Missouri rates for HCPCS 96920

Excimer laser treatment for psoriasis; total area less than 250 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $2,570.40 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $158.49 / $831.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $131.83 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $134.90 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $138.04 / $302.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $158.49 / $331.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $218.78 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $630.96 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $134.90 / $234.42