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Idaho 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
$195.53 / $309.23 / $332.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.47 / $319.33 / $372.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.86 / $310.05 / $402.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.19 / $373.86 / $425.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $340.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.90 / $491.54 / $606.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.27 / $338.30 / $394.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.95 / $259.29 / $349.74