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Missouri 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
$132.83 / $152.55 / $581.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $136.78 / $164.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.76 / $126.66 / $223.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.45 / $170.11 / $272.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $168.75 / $1,624.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.05 / $144.88 / $295.60