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Oregon 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
$316.23 / $549.54 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $234.42 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $416.87 / $630.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $457.09 / $549.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $316.23 / $676.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $416.87 / $588.84
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $436.52 / $457.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $338.84 / $575.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $446.68 / $630.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $630.96 / $776.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $478.63 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,071.52 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $380.19 / $588.84