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Arizona 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
$2,041.74 / $3,890.45 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.70 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $91.20 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $23.99 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $33.11 / $60.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $40.74 / $1,949.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $31.62 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,230.27 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $28.18 / $50.12