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California rates for HCPCS 96921

Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $6,025.60 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $177.83 / $501.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,466.84 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $169.82 / $389.05
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $128.82 / $398.11
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $162.18 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $251.19 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $158.49 / $323.59
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $131.83 / $229.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $151.36 / $295.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,258.93 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $234.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $138.04 / $269.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $162.18 / $331.13
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $602.56
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $165.96 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $331.13 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $134.90 / $263.03