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Wyoming 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
Professional
Modifier
Low / Median / High Price
$51.76 / $51.76 / $51.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $72.00 / $89.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.70 / $83.96 / $117.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.65 / $110.01 / $211.89