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North Carolina 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
$70.79 / $4,466.84 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $162.18 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $138.04 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $165.96 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $154.88 / $331.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $512.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $165.96 / $245.47
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $112.20 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $141.25 / $239.88
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,258.93