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Arkansas 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
$37.15 / $1,288.25 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $25.12 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $41.69 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $331.13 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $28.18 / $50.12