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Missouri 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
$812.83 / $2,570.40 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $169.82 / $501.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $128.82 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $144.54 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $147.91 / $323.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $173.78 / $363.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $223.87 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $630.96 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $147.91 / $257.04