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Pennsylvania 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
$125.89 / $165.96 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $100.00 / $102.33
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $199.53 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $147.91 / $234.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $204.17 / $223.87
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $162.18 / $263.03
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $131.83 / $131.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $165.96 / $398.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $114.82 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $141.25 / $245.47