| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $48.81 | $51.94 | $51.94 | |
Cigna
| Professional | $42.28 | $71.72 | $90.86 | |
United
| Professional | $48.81 | $65.43 | $144.77 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $48.81 | $51.94 | $51.94 | |
Cigna
| Professional | $42.28 | $71.72 | $90.86 | |
United
| Professional | $48.81 | $65.43 | $144.77 |