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Illinois 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
$236.93 / $278.02 / $465.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.53 / $231.54 / $367.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.41 / $2,109.29 / $4,600.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.01 / $241.91 / $320.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.58 / $289.75 / $554.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.65 / $279.20 / $388.27
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.36 / $305.38 / $712.64
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.51 / $265.14 / $283.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $327.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.00 / $916.00 / $3,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.97 / $252.28 / $414.43