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Alaska rates for HCPCS 96567

Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $158.49 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $380.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $323.59 / $416.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $549.54 / $575.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $229.09 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $302.00 / $457.09