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New Jersey 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
$4,365.16 / $6,918.31 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.70 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $38.02 / $75.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $37.15 / $50.12
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $28.84 / $61.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,884.03 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $24.55 / $50.12