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Indiana 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
$128.28 / $144.72 / $234.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.07 / $107.07 / $107.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.53 / $120.95 / $155.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.66 / $141.19 / $175.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.24 / $151.19 / $231.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.79 / $124.73 / $204.01