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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$204.17 / $269.15 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $194.98 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $338.84 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,412.54 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $263.03 / $436.52