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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)

Facilitymedian $182 · 10th–90th $52–$5,1290%10%10th90th$182Professionalmedian $65 · 10th–90th $48–$1410%20%10th90th$65$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $3,090.30 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $57.54 / $144.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $630.96 / $2,818.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $79.43 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $134.90 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $549.54 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $97.72 / $169.82
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $56.23 / $288.40
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $57.54 / $85.11
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $87.10 / $134.90
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $630.96 / $2,818.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $79.43 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $1,862.09 / $2,818.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $89.13 / $144.54