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Massachusetts 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
$52.48 / $3,090.30 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $57.54 / $165.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $630.96 / $2,818.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $79.43 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $134.90 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $549.54 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $104.71 / $181.97
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $83.18 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $61.66 / $87.10
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $89.13 / $138.04
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $630.96 / $2,818.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $79.43 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,862.09 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $89.13 / $147.91