go back

North Dakota 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 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.70 / $30.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $53.70 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $44.67 / $74.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $34.67 / $77.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $46.77 / $56.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $46.77 / $64.57