Goeckerman tar and UVB light therapy for skin

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Photochemotx Tar&Uvb/Petrolatum/Uvb

Payers reporting CPT 96910

Payer pricing summary

Low

$28

Average

$152

Median

$120

High

$605

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +30 other terms	297	$60	$93	$98	105%	1–10	$1 – $1.7k
2	Kaiser fee schedule · outpatient · +18 other terms	62	$117	$131	$74	56%	1–10	$59 – $452
3	Aetna fee schedule · outpatient · +23 other terms	378	$64	$174	$707	406%	—	$20 – $8.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +24 other terms	316	$129	$184	$143	78%	—	$0 – $1.5k
5	Humana fee schedule · outpatient · +22 other terms	275	$69	$242	$618	255%	—	$49 – $8.3k
6	Cigna fee schedule · outpatient · +20 other terms	159	$66	$101	$60	60%	—	$48 – $305
7	Molina fee schedule · outpatient · +20 other terms	124	$70	$87	$48	55%	—	$14 – $354
8	WellCare fee schedule · outpatient · +14 other terms	119	$60	$73	$25	35%	—	$34 – $143
9	Anthem fee schedule · outpatient · +19 other terms	96	$127	$236	$303	128%	—	$34 – $1.5k
10	Devoted fee schedule · outpatient · +10 other terms	68	$63	$67	$18	27%	—	$55 – $119
11	Ambetter facility · fee schedule · outpatient · +16 other terms	55	$100	$228	$928	407%	—	$27 – $7.0k
12	Oscar fee schedule · outpatient · +16 other terms	49	$113	$107	$53	50%	—	$1 – $202
13	Optum fee schedule · outpatient · +14 other terms	35	$116	$92	$36	39%	—	$54 – $218
14	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$192	$182	$84	46%	—	$56 – $370
15	Caresource facility · fee schedule · outpatient · +11 other terms	29	$91	$444	$1.5k	349%	—	$57 – $7.9k
16	Clover fee schedule · outpatient · +8 other terms	26	$65	$63	$4	7%	—	$53 – $70
17	Tricare fee schedule · outpatient · +12 other terms	23	$54	$58	$12	20%	—	$54 – $114
18	Medicare fee schedule · outpatient · +11 other terms	22	$110	$100	$21	21%	—	$56 – $119
19	Regence professional · fee schedule · outpatient · +10 other terms	21	$111	$121	$34	28%	—	$111 – $293
20	Aetna Better Health fee schedule · outpatient · +14 other terms	18	$56	$66	$39	59%	—	$21 – $112
21	First Health fee schedule · outpatient · +12 other terms	16	$62	$79	$45	56%	—	$56 – $236
22	Highmark fee schedule · outpatient · +9 other terms	16	$100	$102	$44	43%	—	$27 – $402
23	MultiPlan fee schedule · outpatient · +13 other terms	16	$98	$100	$19	19%	—	$56 – $194
24	Medica professional · fee schedule · outpatient · +13 other terms	15	$122	$127	$25	20%	—	$94 – $221
25	Medical Mutual facility · fee schedule · outpatient · +7 other terms	15	$56	$381	$1.3k	345%	—	$30 – $6.0k

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