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Connecticut 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
$524.81 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $316.23 / $691.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,162.28 / $10,471.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $436.52 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $407.38 / $794.33
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $354.81 / $549.54
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $4,570.88 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $302.00 / $616.60