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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
$1,778.28 / $4,897.79 / $8,511.38
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
$27.54 / $33.88 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $28.84 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $38.90 / $63.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $70.79 / $1,258.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $38.90 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $707.95 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $32.36 / $54.95