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Nebraska 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
$48.98 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.70 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $588.84 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $37.15 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $53.70 / $63.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $54.95 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $50.12 / $407.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $57.54 / $74.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $56.23 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $4,570.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $47.86 / $66.07