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Oklahoma 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
$205.83 / $205.83 / $205.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.53 / $205.83 / $215.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.21 / $253.42 / $392.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.55 / $285.51 / $313.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.59 / $719.59 / $719.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.56 / $239.10 / $331.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.11 / $277.87 / $1,470.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.10 / $213.68 / $435.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.67 / $634.00 / $1,582.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.10 / $213.68 / $390.15