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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
$467.74 / $467.74 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $263.03 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $630.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $446.68 / $630.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $549.54 / $707.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $912.01 / $954.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $316.23 / $630.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $346.74 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $501.19 / $758.58