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West 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
$25.12 / $25.12 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $23.99 / $41.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $32.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $36.31 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $29.51 / $43.65