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Alabama rates for HCPCS 67221

Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,445.44 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $316.23 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,778.28 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $275.42 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $281.84 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,148.15 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $245.47 / $331.13