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Minnesota 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
$25.70 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.70 / $37.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $63.10 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $53.70 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $89.13 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $75.86 / $104.71
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $85.11 / $165.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $64.57 / $95.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $50.12 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $52.48 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,862.09 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $52.48 / $97.72