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Ohio 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
$154.55 / $265.70 / $567.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.53 / $215.08 / $377.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.83 / $196.49 / $343.75
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.17 / $203.17 / $203.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.27 / $290.16 / $290.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.70 / $214.90 / $214.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.59 / $248.46 / $418.07
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.59 / $253.97 / $427.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.65 / $217.48 / $315.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.00 / $1,009.00 / $3,398.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.55 / $217.62 / $397.77