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Maryland 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
Professional
Modifier
Low / Median / High Price
$22.91 / $25.70 / $79.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $24.55 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $34.67 / $61.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $32.36 / $46.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $30.90 / $50.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $36.31 / $40.74