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Tennessee 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
$211.96 / $218.45 / $562.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.53 / $218.63 / $377.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.39 / $237.39 / $237.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.72 / $220.24 / $340.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.79 / $175.99 / $241.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.66 / $255.30 / $380.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.92 / $1,194.33 / $1,194.33
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.85 / $1,509.85 / $1,851.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.00 / $786.00 / $2,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.10 / $219.13 / $414.15