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North Carolina 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)

Facilitymedian $162 · 10th–90th $50–$8,1280%10%10th90th$162Professionalmedian $60 · 10th–90th $50–$1410%20%10th90th$60$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $6,456.54 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $117.49 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $81.28 / $134.90
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $69.18 / $112.20
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $147.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $831.76 / $1,995.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $66.07 / $120.23
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83