go back

Louisiana 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
$338.84 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $134.90 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $281.84 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $123.03 / $165.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $120.23 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $316.23 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $138.04 / $208.93