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Minnesota 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
$55.85 / $55.85 / $55.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.85 / $55.85 / $72.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $55.29 / $161.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.62 / $130.76 / $181.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.29 / $172.00 / $413.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.65 / $167.35 / $220.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.60 / $157.25 / $325.80
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.78 / $152.13 / $196.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.50 / $97.48 / $1,727.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $130.94 / $273.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.45 / $130.94 / $217.25