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Hawaii 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
$2,818.38 / $2,818.38 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $53.70 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $64.57 / $93.33
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $77.62 / $85.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $69.18 / $87.10
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71