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Vermont 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
$141.25 / $263.03 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $208.93 / $389.05
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $234.42 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $173.78 / $562.34