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Ohio 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 / $169.82 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $109.65 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $125.89 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $154.88 / $251.19
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $151.36 / $239.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $131.83 / $234.42