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Arkansas rates for HCPCS 96570

Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronchoscopy procedures of lung and gastrointestinal tract)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.25 / $1,342.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.57 / $66.25 / $81.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.92 / $75.33 / $75.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.38 / $134.55 / $155.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.26 / $85.56 / $102.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $337.00 / $858.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.35 / $62.43 / $105.41