go back

Florida 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
$1,047.13 / $5,495.41 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.70 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $35.48 / $63.10
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.95 / $30.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $1,737.80 / $4,168.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $31.62 / $54.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $26.92