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Wyoming 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
$21.88 / $25.70 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $43.65 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $40.74 / $69.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $46.77 / $87.10