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Pennsylvania 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
$724.44 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $169.82 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $275.42 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $446.68 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $138.04 / $245.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $251.19
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $177.83 / $275.42
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $147.91 / $162.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $2,344.23 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $165.96 / $457.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $123.03 / $144.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $75.86 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $575.44 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $138.04 / $251.19