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South Carolina 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
$120.23 / $147.91 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $102.33 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $114.82 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $134.90 / $218.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $123.03 / $186.21