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Iowa rates for HCPCS 67221

Dstrj Lesion Choroid Photodynamic Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.00 / $3,576.15 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.21 / $327.36 / $476.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.76 / $541.99 / $809.29
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.07 / $339.47 / $881.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.74 / $631.73 / $3,258.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.92 / $569.12 / $1,548.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.10 / $496.50 / $708.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.48 / $573.00 / $725.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,482.00 / $5,454.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.58 / $427.89 / $802.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.00 / $457.60 / $621.50