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North Dakota 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
$217.25 / $217.25 / $217.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.53 / $217.25 / $377.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.33 / $475.94 / $558.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.96 / $548.94 / $708.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.25 / $266.05 / $651.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.68 / $346.01 / $521.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.00 / $1,978.00 / $1,978.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.45 / $346.01 / $468.89