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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
$52.50 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.21 / $58.68 / $79.76
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.92 / $627.00 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $108.05 / $812.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.63 / $134.38 / $175.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.36 / $485.06 / $579.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.62 / $113.60 / $181.53
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.37 / $110.50 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.24 / $61.05 / $96.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.95 / $130.74 / $167.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $1,790.00 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.47 / $114.15 / $812.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.47 / $85.92 / $191.48