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Pennsylvania rates for HCPCS 96921

Excimer Laser Tx Psoriasis 250-500 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.71 / $2,070.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.59 / $159.96 / $262.39
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.91 / $188.70 / $317.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.98 / $375.56 / $484.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.40 / $142.93 / $258.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.58 / $227.03 / $233.48
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.98 / $149.38 / $163.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,371.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.04 / $169.25 / $445.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $184.80 / $207.31
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.23 / $191.15 / $403.23
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.22 / $144.54 / $274.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.92 / $123.66 / $165.09
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.70 / $145.49 / $177.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.99 / $179.94 / $337.56