go back

Idaho 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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $151.36 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $257.04 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $204.17 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $134.90 / $288.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $144.54 / $309.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $177.83 / $295.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $446.68 / $630.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $158.49 / $389.05
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $138.04 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $162.18 / $288.40