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Louisiana 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 / $147.91 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $120.23 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $147.91 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $128.82 / $194.98