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Massachusetts rates for HCPCS 96574

Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with 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
$923.50 / $2,083.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.18 / $324.95 / $876.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.72 / $947.00 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.89 / $422.54 / $1,077.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.59 / $564.32 / $749.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.85 / $346.87 / $475.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.83 / $445.39 / $909.32
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.30 / $615.55 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.52 / $303.45 / $460.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.37 / $590.40 / $825.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.02 / $377.05 / $415.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.74 / $1,457.44 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.64 / $422.54 / $1,841.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.92 / $402.36 / $848.09