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Connecticut 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
$269.15 / $616.60 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $316.23 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $245.47 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $645.65 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $331.13 / $630.96
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $281.84 / $371.54
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,890.45 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $295.12 / $457.09