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Iowa 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
$214.46 / $310.19 / $880.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.48 / $468.99 / $586.24
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.18 / $283.57 / $671.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.48 / $418.76 / $1,640.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.44 / $369.47 / $919.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.76 / $395.75 / $544.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.67 / $395.75 / $619.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.22 / $352.04 / $398.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $1,775.00 / $3,560.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.50 / $317.82 / $525.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.31 / $329.50 / $387.70