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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
$206.94 / $4,198.00 / $13,066.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.72 / $234.54 / $365.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.24 / $12,361.00 / $54,020.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.16 / $285.73 / $557.12
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,881.00 / $6,066.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.28 / $199.57 / $344.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.75 / $286.32 / $487.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.00 / $2,671.00 / $5,507.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.89 / $271.04 / $484.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.54 / $213.96 / $213.96