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Florida 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
$562.34 / $3,388.44 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $275.42 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $12,589.25 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $281.84 / $588.84
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,884.03 / $6,309.57
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $208.93 / $331.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $2,570.40 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $239.88 / $426.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $213.80 / $263.03