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Kansas 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
$1,361.00 / $3,506.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.53 / $296.29 / $453.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.86 / $178.86 / $178.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.69 / $343.69 / $456.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.56 / $336.24 / $498.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $359.66 / $1,690.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.94 / $366.99 / $1,548.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.00 / $1,341.00 / $2,793.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.64 / $336.98 / $475.48