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Hawaii 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
Professional
Modifier
Low / Median / High Price
$212.31 / $300.48 / $302.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.70 / $302.33 / $362.79
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.04 / $274.29 / $327.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.05 / $290.23 / $338.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,078.00 / $1,078.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.70 / $302.33 / $499.18
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.19 / $232.19 / $316.87