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Virginia rates for HCPCS 96921

Excimer Laser Tx Psoriasis 250-500 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.33 / $3,226.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.44 / $159.36 / $195.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.59 / $138.38 / $234.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $65.05 / $74.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.23 / $170.89 / $239.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.59 / $149.83 / $325.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.50 / $178.84 / $212.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.28 / $147.00 / $248.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.00 / $244.00 / $341.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.13 / $91.46 / $203.20
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.10 / $210.28 / $420.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.44 / $182.25 / $316.54