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South 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

Facilitymedian $263 · 10th–90th $219–$4680%20%40%10th90th$263Professionalmedian $282 · 10th–90th $214–$4790%10%20%10th90th$282$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $234.42 / $331.13
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $288.40 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $478.63 / $602.56
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $331.13 / $630.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $346.74 / $1,513.56
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $380.19 / $398.11
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $371.54 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $354.81 / $537.03
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $407.38