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Maine rates for HCPCS 96921

Excimer Laser Tx Psoriasis 250-500 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.18 / $150.38 / $254.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.70 / $143.69 / $229.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.92 / $155.82 / $356.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.31 / $158.36 / $313.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.18 / $169.25 / $221.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.18 / $234.87 / $349.35