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Indiana rates for HCPCS 96921

Excimer Laser Tx Psoriasis 250-500 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.80 / $159.79 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.80 / $141.47 / $186.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.22 / $124.22 / $124.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.94 / $136.59 / $303.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.57 / $69.29 / $212.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.51 / $163.81 / $204.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.73 / $156.25 / $295.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.51 / $169.19 / $288.98