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Maine 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 / $224.31 / $377.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.73 / $299.89 / $417.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.44 / $283.55 / $522.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.23 / $324.95 / $481.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.53 / $244.16 / $377.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.41 / $266.43 / $480.17