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Wyoming 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
$247.84 / $247.84 / $247.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.00 / $407.00 / $407.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.89 / $249.91 / $362.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.28 / $361.80 / $590.71