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New York 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
$35.48 / $3,019.95 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $26.92 / $77.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $28.84 / $63.10
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $42.66 / $104.71
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $28.18 / $72.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $37.15 / $52.48
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $31.62 / $63.10
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $37.15 / $66.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,754.23 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $28.84 / $67.61
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $27.54 / $100.00
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $31.62 / $79.43