go back

Arkansas 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
$107.15 / $141.25 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $117.49 / $194.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $151.36 / $208.93
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $128.82 / $194.98