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Massachusetts 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
$58.56 / $202.74 / $273.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.53 / $254.93 / $559.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.72 / $818.35 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.98 / $342.13 / $863.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.58 / $453.58 / $601.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.85 / $346.87 / $475.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.88 / $348.41 / $731.62
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.97 / $504.34 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $247.47 / $377.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.52 / $480.55 / $671.27
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.07 / $196.07 / $196.07
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $512.00 / $803.07
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.00 / $1,194.33 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.95 / $342.13 / $1,509.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $3,445.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.81 / $308.76 / $638.77