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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

Facilitymedian $269 · 10th–90th $219–$1,0960%20%10th90th$269Professionalmedian $245 · 10th–90th $200–$6460%10%20%10th90th$245$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $234.42 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $257.04 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $263.03 / $457.09
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $234.42 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $831.76 / $1,995.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $204.17 / $389.05
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,862.09