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Tennessee 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
$104.51 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.05 / $55.57 / $104.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.43 / $64.31 / $107.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.34 / $143.34 / $165.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.86 / $69.56 / $112.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.92 / $504.30 / $504.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.00 / $812.00 / $812.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.95 / $72.36 / $118.61