| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $24.23 | $25.81 | $25.81 | |
Cigna
| Professional | $19.18 | $32.64 | $45.15 | |
United
| Professional | $25.97 | $41.01 | $66.55 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $24.23 | $25.81 | $25.81 | |
Cigna
| Professional | $19.18 | $32.64 | $45.15 | |
United
| Professional | $25.97 | $41.01 | $66.55 |