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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
$27.26 / $27.26 / $27.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.96 / $34.25 / $47.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.02 / $39.70 / $55.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $35.29 / $54.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.26 / $27.26 / $27.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.50 / $38.96 / $49.43