go back

Virginia 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
$55.57 / $5,048.00 / $9,918.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.61 / $55.57 / $65.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.79 / $58.56 / $80.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.01 / $56.01 / $97.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.34 / $143.34 / $165.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.47 / $75.25 / $141.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.70 / $60.84 / $75.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.57 / $71.44 / $100.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.00 / $78.48 / $117.07
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.95 / $75.76 / $805.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.95 / $75.76 / $805.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.44 / $74.84 / $113.02