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Oklahoma 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
$125.53 / $138.69 / $138.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.90 / $176.00 / $193.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.67 / $162.76 / $202.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.20 / $132.94 / $1,624.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $132.44 / $222.06