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Delaware rates for HCPCS 67221

Dstrj Lesion Choroid Photodynamic Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.55 / $238.18 / $313.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $418.00 / $418.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.99 / $254.86 / $363.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.17 / $283.37 / $630.42