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Maryland 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
Professional
Modifier
Low / Median / High Price
$50.54 / $51.13 / $161.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.01 / $50.01 / $59.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.97 / $77.27 / $129.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.27 / $73.05 / $109.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $65.53 / $110.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.07 / $63.56 / $78.81