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Ohio 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
$26.92 / $8,912.51 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.70 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $38.02 / $64.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $25.12 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $34.67 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $33.11 / $52.48
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $36.31 / $52.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $30.20 / $53.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $954.99 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $30.90 / $54.95