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Arizona 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
$1,671.00 / $3,437.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $53.54 / $289.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.84 / $235.10 / $386.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.42 / $45.90 / $57.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.87 / $68.72 / $112.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.04 / $71.45 / $1,448.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.16 / $64.40 / $812.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.10 / $61.94 / $106.98