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Oregon 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
$416.87 / $707.95 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $288.40 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $398.11 / $676.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $407.38 / $676.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $380.19 / $676.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $467.74 / $660.69
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $537.03 / $549.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $380.19 / $630.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $436.52 / $645.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,819.70 / $2,187.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $524.81 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,398.83 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $446.68 / $691.83