go back

West Virginia rates for HCPCS 96921

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $158.49 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $138.04 / $190.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $70.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $147.91 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $112.20 / $245.47