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Utah rates for HCPCS 96921

Excimer Laser Tx Psoriasis 250-500 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.64 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.69 / $157.91 / $238.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.67 / $172.95 / $261.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.96 / $143.52 / $183.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.07 / $379.59 / $553.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.48 / $122.90 / $244.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.69 / $176.75 / $260.62