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Alaska rates for HCPCS 96571

Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 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
$70.61 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.73 / $57.73 / $136.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.49 / $61.49 / $92.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.70 / $57.73 / $82.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.85 / $82.88 / $215.15
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.50 / $107.30 / $168.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.70 / $57.73 / $82.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.43 / $111.00 / $185.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.59 / $81.54 / $159.84