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Montana 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
$57.82 / $289.89 / $289.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.34 / $78.34 / $78.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.34 / $78.34 / $93.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.09 / $78.34 / $124.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.57 / $105.95 / $109.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.85 / $73.28 / $105.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.13 / $96.18 / $114.11