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Maine 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 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $35.48 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $37.15 / $54.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $38.02 / $54.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $32.36 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $38.02 / $56.23