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Kentucky 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 / $1,288.25 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.12 / $32.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $28.84 / $37.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $31.62 / $37.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $32.36 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $40.74 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $42.66 / $134.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $602.56 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $31.62 / $52.48