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Nebraska 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
$130.04 / $206.74 / $295.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.01 / $149.01 / $149.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.79 / $205.47 / $276.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.91 / $281.95 / $352.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.52 / $259.68 / $1,624.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.00 / $253.81 / $315.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.52 / $274.06 / $326.39