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Kentucky 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
$215.13 / $385.26 / $3,740.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.74 / $253.90 / $348.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,013.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.52 / $205.42 / $344.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.35 / $257.14 / $302.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.07 / $266.58 / $425.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.16 / $233.51 / $347.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.63 / $304.72 / $961.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $179.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.00 / $950.00 / $3,394.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.85 / $316.86 / $471.13