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Idaho rates for HCPCS 96921

Excimer Laser Tx Psoriasis 250-500 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.69 / $159.36 / $233.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.76 / $134.26 / $286.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.64 / $137.31 / $262.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.33 / $219.82 / $292.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $236.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.09 / $491.54 / $606.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.97 / $152.26 / $298.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.82 / $217.50 / $303.00