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Vermont 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 / $275.42 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $288.40 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $288.40 / $562.34
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $380.19 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $281.84 / $724.44