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Iowa 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
$128.82 / $208.93 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $288.40 / $363.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $151.36 / $288.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $194.98 / $389.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $269.15 / $380.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $213.80 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $186.21 / $338.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $199.53 / $234.42