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Virginia 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
$31.14 / $5,048.00 / $9,918.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.12 / $29.67 / $31.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.74 / $29.08 / $39.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.96 / $25.72 / $44.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.64 / $67.64 / $78.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.98 / $36.39 / $64.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.58 / $28.30 / $34.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.51 / $37.93 / $53.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $41.00 / $58.22
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.50 / $36.45 / $805.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.50 / $36.45 / $805.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.66 / $34.95 / $52.89