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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
$261.23 / $261.23 / $261.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.12 / $245.79 / $310.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.07 / $660.93 / $1,473.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.63 / $473.30 / $797.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.37 / $830.13 / $1,997.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.87 / $642.82 / $966.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.87 / $758.94 / $1,572.44
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.62 / $567.10 / $873.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.93 / $402.01 / $1,589.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.38 / $384.14 / $874.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,063.00 / $1,597.44 / $3,584.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.38 / $360.38 / $800.52