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Minnesota 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
$263.03 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $245.47 / $416.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $724.44 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $467.74 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $870.96 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $676.08 / $977.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $831.76 / $1,659.59
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $407.38 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $371.54 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,862.09 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $380.19 / $776.25