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New York 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
$285.24 / $3,060.00 / $7,343.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.74 / $264.85 / $478.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.37 / $281.95 / $645.88
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.02 / $293.02 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.02 / $293.02 / $389.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.26 / $209.26 / $347.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.56 / $329.60 / $717.37
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $319.00 / $778.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.07 / $378.51 / $589.04
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.03 / $261.04 / $498.49
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.74 / $344.49 / $344.49
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.26 / $555.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.82 / $356.35 / $760.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.00 / $3,496.00 / $5,828.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.42 / $326.02 / $697.43
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.29 / $281.29 / $782.12
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.03 / $281.29 / $617.00