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Colorado rates for HCPCS 67221

Dstrj Lesion Choroid Photodynamic Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.00 / $3,889.00 / $9,872.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.55 / $244.63 / $466.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.00 / $2,971.00 / $7,022.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.98 / $278.98 / $404.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.79 / $312.42 / $472.53
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.79 / $334.12 / $439.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.48 / $334.12 / $459.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.00 / $2,537.00 / $3,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.56 / $381.17 / $585.16