go back

North Carolina 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
$224.96 / $224.96 / $433.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.04 / $224.96 / $377.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.25 / $187.25 / $187.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.07 / $259.47 / $430.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.16 / $254.78 / $518.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.84 / $224.96 / $328.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.58 / $216.58 / $216.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.88 / $224.10 / $379.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $833.00 / $1,928.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.75 / $203.47 / $487.89
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.92 / $442.57 / $1,194.33
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.85 / $1,509.85 / $1,851.90