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North Carolina 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
$25.12 / $6,456.54 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.70 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $51.29 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $39.81 / $67.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $35.48 / $58.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $50.12 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $812.83 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $31.62 / $54.95
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38