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Alaska rates for HCPCS 96573

Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.92 / $468.92 / $541.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.31 / $215.08 / $464.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.84 / $349.17 / $623.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.47 / $619.46 / $632.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.89 / $638.52 / $658.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.98 / $855.00 / $954.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.47 / $619.46 / $632.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.75 / $695.26 / $1,227.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.14 / $444.22 / $499.18