Phototherapy with psoralen and UVA light

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

Photochemotherapy Uva

Payers reporting CPT 96912

Payer pricing summary

Low

$28

Average

$147

Median

$118

High

$776

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +23 other terms	376	$64	$174	$712	409%	—	$21 – $8.4k
2	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	313	$123	$191	$167	87%	—	$0 – $1.9k
3	UnitedHealthcare fee schedule · outpatient · +28 other terms	294	$60	$96	$122	128%	—	$1 – $1.7k
4	Humana fee schedule · outpatient · +23 other terms	277	$69	$222	$597	269%	—	$49 – $8.3k
5	Cigna fee schedule · outpatient · +19 other terms	157	$66	$97	$56	58%	—	$48 – $305
6	Molina fee schedule · outpatient · +20 other terms	121	$70	$86	$44	52%	—	$20 – $354
7	WellCare fee schedule · outpatient · +16 other terms	117	$60	$71	$22	31%	—	$36 – $139
8	Anthem fee schedule · outpatient · +17 other terms	97	$111	$194	$244	126%	—	$35 – $1.2k
9	Devoted fee schedule · outpatient · +8 other terms	68	$63	$65	$13	20%	—	$55 – $101
10	Kaiser fee schedule · outpatient · +12 other terms	62	$99	$124	$72	58%	—	$53 – $452
11	Ambetter facility · fee schedule · outpatient · +14 other terms	53	$100	$235	$945	402%	—	$58 – $7.0k
12	Oscar fee schedule · outpatient · +16 other terms	49	$113	$103	$49	47%	—	$1 – $172
13	Optum fee schedule · outpatient · +13 other terms	35	$99	$91	$39	43%	—	$54 – $218
14	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$192	$182	$84	46%	—	$56 – $370
15	Caresource facility · fee schedule · outpatient · +10 other terms	30	$91	$419	$1.5k	357%	—	$57 – $7.9k
16	Clover fee schedule · outpatient · +8 other terms	26	$65	$63	$4	7%	—	$53 – $70
17	Regence professional · fee schedule · outpatient · +8 other terms	26	$94	$165	$82	50%	—	$94 – $316
18	Tricare fee schedule · outpatient · +10 other terms	23	$54	$57	$8	15%	—	$54 – $97
19	Medicare fee schedule · outpatient · +10 other terms	22	$94	$87	$15	17%	—	$56 – $101
20	Aetna Better Health fee schedule · outpatient · +14 other terms	18	$56	$59	$32	53%	—	$21 – $95
21	First Health fee schedule · outpatient · +11 other terms	16	$62	$80	$47	58%	—	$56 – $244
22	Highmark fee schedule · outpatient · +8 other terms	16	$93	$95	$36	38%	—	$16 – $346
23	Medical Mutual facility · fee schedule · outpatient · +7 other terms	16	$57	$351	$1.3k	358%	—	$30 – $6.0k
24	MultiPlan fee schedule · outpatient · +13 other terms	16	$98	$99	$14	14%	—	$56 – $164
25	Ucare case rate · outpatient · +8 other terms	15	$62	$62	$1	2%	—	$59 – $62

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