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Idaho 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
$120.23 / $194.98 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $234.42 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $194.98 / $257.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $229.09 / $257.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $245.47 / $316.23
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $120.23 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $177.83 / $234.42