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Pennsylvania rates for HCPCS 96921

Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm

Facilitymedian $2,692 · 10th–90th $589–$8,3180%5%10%10th90th$2,692Professionalmedian $158 · 10th–90th $65–$3240%20%10th90th$158$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $158.49 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $173.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $257.04 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $446.68 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $144.54 / $281.84
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $229.09 / $251.19
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $173.78 / $245.47
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $147.91 / $162.18
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $1,995.26 / $7,244.36
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $151.36 / $251.19
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $295.12 / $691.83
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $69.18 / $165.96
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $72.44 / $169.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $588.84 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $138.04 / $251.19