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Maine rates for HCPCS 67221

Dstrj Lesion Choroid Photodynamic Therapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.74 / $306.64 / $453.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.22 / $266.42 / $361.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.64 / $531.64 / $531.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.49 / $421.36 / $582.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.33 / $345.42 / $537.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.74 / $273.89 / $432.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.22 / $395.74 / $514.16