go back

Georgia 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
$35.48 / $5,623.41 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.70 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $35.48 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $40.74 / $64.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $30.90 / $45.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $1,513.56 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $35.48 / $64.57