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New Mexico 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
$41.38 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.47 / $54.57 / $116.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.93 / $539.62 / $904.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.78 / $89.51 / $108.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $72.59 / $84.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.70 / $76.64 / $80.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.78 / $90.63 / $108.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.00 / $1,327.00 / $1,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $89.66 / $131.93