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Arkansas 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
$222.87 / $222.87 / $347.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.16 / $215.08 / $251.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.41 / $171.41 / $171.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.79 / $238.49 / $280.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.27 / $228.92 / $289.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $337.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.08 / $217.62 / $312.56