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South Carolina rates for HCPCS 96921

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

Facilitymedian $3,802 · 10th–90th $85–$9,7720%5%10%10th90th$3,802Professionalmedian $148 · 10th–90th $65–$2140%10%20%10th90th$148$50.0$200.0$1.0K$5.0K$20.0K

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
$173.78 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $158.49 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $354.81 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $147.91 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $141.25 / $229.09
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $147.91 / $257.04
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $1,348.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $117.49 / $194.98