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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
$54.95 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $54.95 / $81.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $112.20 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $117.49 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $181.97 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $162.18 / $218.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $181.97 / $338.84
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $134.90 / $204.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $104.71 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $112.20 / $275.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,862.09 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $109.65 / $204.17