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Virginia 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
$128.82 / $147.91 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $177.83 / $245.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $144.54 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $158.49 / $281.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $158.49 / $186.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $154.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $181.97 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $131.83 / $245.47