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Missouri 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
$1,778.28 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $57.54 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $67.61 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $56.23 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $81.28 / $123.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $144.54 / $1,258.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $83.18 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $707.95 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $69.18 / $114.82