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Oklahoma 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
$1,000.00 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.12 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $33.88 / $41.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $346.74 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $32.36 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $630.96 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $28.18 / $43.65