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New Jersey rates for HCPCS 67221

Dstrj Lesion Choroid Photodynamic Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.04 / $4,294.00 / $9,950.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.48 / $253.91 / $365.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.57 / $321.45 / $759.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.19 / $332.24 / $781.56
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.33 / $1,284.56 / $1,333.77
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.06 / $295.17 / $450.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,284.00 / $3,961.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.06 / $319.99 / $545.65