go back

Vermont 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
Professional
Modifier
Low / Median / High Price
$29.73 / $29.73 / $136.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.56 / $38.95 / $89.60
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.02 / $39.65 / $89.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.90 / $39.29 / $109.98