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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
$215.08 / $218.97 / $528.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.54 / $289.77 / $853.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.89 / $291.12 / $853.74
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.03 / $336.85 / $853.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.74 / $306.49 / $890.98