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Georgia 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
$218.63 / $218.63 / $230.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.53 / $234.80 / $449.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.90 / $352.59 / $405.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.94 / $263.07 / $466.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.77 / $221.78 / $469.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.95 / $246.88 / $680.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.29 / $306.52 / $392.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.00 / $1,570.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.10 / $261.36 / $529.33