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Wisconsin rates for HCPCS 96921

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

Facilitymedian $2,884 · 10th–90th $162$5,7540%10%20%10th90th$2,884Professionalmedian $174 · 10th–90th $72$4570%10%10th90th$174$50.0$200.0$1.0K$5.0K

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
$77.62 / $134.90 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $165.96 / $331.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $208.93 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $549.54 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $186.21 / $501.19
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $186.21 / $3,388.44
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $173.78 / $416.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $162.18 / $407.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $269.15 / $741.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $239.88
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $151.36
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $316.23 / $446.68
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $218.78 / $478.63
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $645.65 / $645.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $190.55 / $1,230.27
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $208.93
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $251.19 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $707.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $186.21 / $501.19