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Massachusetts 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
$23.99 / $3,090.30 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.70 / $83.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $630.96 / $2,818.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $39.81 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $549.54 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $50.12 / $97.72
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $56.23 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $30.20 / $44.67
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $45.71 / $70.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $630.96 / $2,818.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $39.81 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,862.09 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $43.65 / $72.44