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New Hampshire 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
$199.53 / $1,819.70 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $138.04 / $245.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,412.54 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $125.89 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $173.78 / $407.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $165.96 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $181.97 / $436.52
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $223.87