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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
$63.44 / $4,531.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.71 / $36.22 / $62.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.34 / $57.57 / $86.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.11 / $92.80 / $143.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.59 / $34.19 / $63.49
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.15 / $40.29 / $40.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.00 / $3,983.00 / $6,832.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.42 / $41.12 / $78.59