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Connecticut rates for HCPCS 67221

Dstrj Lesion Choroid Photodynamic Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.91 / $4,228.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.25 / $339.19 / $560.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $10,432.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.66 / $390.43 / $513.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.50 / $388.82 / $710.29
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.90 / $332.24 / $544.72
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.19 / $597.19 / $597.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,849.00 / $4,647.00 / $9,338.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.27 / $355.45 / $802.26