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Washington, DC 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
$51.13 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.13 / $51.13 / $51.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.01 / $50.01 / $59.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.29 / $78.93 / $150.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.29 / $109.99 / $109.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.49 / $81.73 / $139.29