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Maine 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
$50.12 / $57.54 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $77.62 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $74.13 / $117.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $75.86 / $107.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $66.07 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $81.28 / $112.20