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Utah rates for HCPCS 96922

Excimer laser treatment for psoriasis; over 500 sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $181.97 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $213.80 / $354.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $229.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $199.53 / $363.08
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $194.98 / $457.09
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $223.87 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $186.21 / $302.00