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New Jersey 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
$123.03 / $173.78 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $162.18 / $354.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $186.21 / $204.17
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $162.18 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $131.83 / $251.19