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West 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
$51.30 / $51.30 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.81 / $51.13 / $55.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.65 / $64.73 / $70.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.69 / $62.69 / $62.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.89 / $59.89 / $59.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $76.56 / $264.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.79 / $67.59 / $91.64