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Louisiana 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
$234.28 / $234.28 / $271.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.53 / $234.28 / $377.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.10 / $364.17 / $559.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.39 / $212.83 / $256.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.12 / $234.11 / $311.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.00 / $580.00 / $1,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.22 / $206.24 / $329.66