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Arizona rates for HCPCS 96921

Excimer Laser Tx Psoriasis 250-500 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.18 / $161.24 / $262.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.73 / $267.19 / $423.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.74 / $89.32 / $151.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.32 / $825.32 / $825.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.65 / $150.59 / $225.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.13 / $137.40 / $196.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.08 / $171.70 / $1,242.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.05 / $167.61 / $222.20