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South Carolina 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
$25.12 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.12 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $354.81 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $27.54 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $33.88 / $54.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $36.31 / $66.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,202.26 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $28.18 / $47.86