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Alabama 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
$1,096.48 / $1,445.44 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.70 / $42.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $295.12 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $28.84 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $33.88 / $43.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $588.84 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.92 / $35.48