# CPT 96573: Pdt Dstr Prmlg Les Skn Illum/activj By Phys/qhp

Medicare CPT 96573 pays $217.44 in a non-facility setting and $217.44 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $188.76 in Arkansas to $254.55 in California, a 35% spread.

Web page: https://www.med-reveal.com/rates/96573-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Dermatology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $217.44 |
| National facility | $217.44 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| California | $254.55 | $254.55 |
| District of Columbia | $254.15 | $254.15 |
| Washington | $245.95 | $245.95 |
| Hawaii | $244.71 | $244.71 |
| New Jersey | $243.64 | $243.64 |
| Massachusetts | $242.62 | $242.62 |
| New York | $241.67 | $241.67 |
| Alaska | $238.06 | $238.06 |
| Connecticut | $233.38 | $233.38 |
| Colorado | $230.35 | $230.35 |
| Oregon | $228.14 | $228.14 |
| Maryland | $226.24 | $226.24 |
| New Hampshire | $225.60 | $225.60 |
| Rhode Island | $224.30 | $224.30 |
| Minnesota | $222.80 | $222.80 |
| Puerto Rico | $219.64 | $219.64 |
| Virgin Islands | $219.64 | $219.64 |
| Florida | $218.74 | $218.74 |
| Nevada | $217.53 | $217.53 |
| Montana | $217.44 | $217.44 |
| Wyoming | $217.27 | $217.27 |
| North Dakota | $217.04 | $217.04 |
| South Dakota | $217.00 | $217.00 |
| Vermont | $215.10 | $215.10 |
| Delaware | $215.04 | $215.04 |
| Texas | $214.36 | $214.36 |
| Virginia | $213.83 | $213.83 |
| Pennsylvania | $213.51 | $213.51 |
| Illinois | $211.32 | $211.32 |
| Arizona | $211.11 | $211.11 |
| Wisconsin | $208.53 | $208.53 |
| Georgia | $208.35 | $208.35 |
| Maine | $208.24 | $208.24 |
| Michigan | $205.45 | $205.45 |
| Utah | $205.31 | $205.31 |
| North Carolina | $203.73 | $203.73 |
| Indiana | $202.42 | $202.42 |
| South Carolina | $202.06 | $202.06 |
| Nebraska | $201.54 | $201.54 |
| Idaho | $201.00 | $201.00 |
| New Mexico | $200.89 | $200.89 |
| Missouri | $200.87 | $200.87 |
| Louisiana | $199.98 | $199.98 |
| Iowa | $199.95 | $199.95 |
| Ohio | $199.95 | $199.95 |
| Tennessee | $198.83 | $198.83 |
| Kansas | $197.81 | $197.81 |
| Oklahoma | $195.78 | $195.78 |
| Kentucky | $195.06 | $195.06 |
| Alabama | $192.02 | $192.02 |
| West Virginia | $191.39 | $191.39 |
| Mississippi | $189.32 | $189.32 |
| Arkansas | $188.76 | $188.76 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 96573 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules