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Missouri 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
$1,110.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $26.05 / $30.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.34 / $33.39 / $50.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.52 / $39.60 / $78.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.05 / $47.53 / $908.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.62 / $41.60 / $406.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $760.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.34 / $34.38 / $64.29