go back

Connecticut 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
$63.10 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $26.92 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $60.26 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $104.71 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $35.48 / $63.10
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,890.45 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $35.48 / $69.18