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Washington, DC rates for HCPCS 67221

Dstrj Lesion Choroid Photodynamic Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.26 / $1,793.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.74 / $258.67 / $347.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.92 / $324.07 / $2,268.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.83 / $320.76 / $714.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.44 / $338.61 / $619.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.00 / $762.00 / $6,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.90 / $263.91 / $735.13