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Indiana 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
$25.12 / $3,467.37 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.70 / $45.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $40.74 / $63.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $25.12 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $42.66 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $33.11 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,290.87 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $30.20 / $45.71