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Montana 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
$129.56 / $142.83 / $228.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.69 / $216.10 / $216.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.06 / $216.10 / $311.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.78 / $208.19 / $272.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.50 / $218.66 / $238.95