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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
$58.22 / $58.22 / $65.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $69.52 / $102.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.33 / $84.01 / $111.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.62 / $76.78 / $117.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.22 / $58.22 / $69.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.87 / $88.78 / $99.33