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Texas 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
$182.85 / $215.90 / $401.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.85 / $216.99 / $302.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.84 / $187.84 / $197.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.43 / $480.51 / $878.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.00 / $260.95 / $371.70
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.55 / $262.57 / $353.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.58 / $207.83 / $207.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.13 / $172.81 / $229.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.68 / $239.31 / $352.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.92 / $1,003.13 / $1,194.33
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.85 / $1,509.85 / $1,851.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.05 / $234.26 / $321.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.98 / $319.26 / $425.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.91 / $249.12 / $345.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.98 / $233.17 / $318.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.88 / $251.07 / $403.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $1,058.00 / $2,668.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.07 / $217.62 / $310.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.65 / $201.98 / $282.77