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Michigan 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 / $169.82 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $107.15 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $194.98 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $173.78 / $562.34
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $154.88 / $275.42
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $154.88 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $141.25 / $186.21