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Alabama rates for HCPCS 67221

Dstrj Lesion Choroid Photodynamic Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.00 / $927.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.00 / $279.30 / $520.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,442.36 / $1,750.38 / $2,354.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.02 / $274.00 / $356.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.56 / $281.83 / $822.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,234.00 / $2,481.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.61 / $272.91 / $344.72