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Idaho 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
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $32.36 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $125.89 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $48.98 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $45.71 / $52.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $42.66 / $81.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $43.65 / $51.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $38.90 / $45.71
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.12 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $8,317.64 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $37.15 / $48.98