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Maine rates for HCPCS 96921

Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $169.82 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $134.90 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $165.96 / $346.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $154.88 / $288.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $177.83 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $165.96 / $302.00