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Vermont rates for HCPCS 67221

Dstrj Lesion Choroid Photodynamic Therapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.74 / $253.90 / $453.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.54 / $489.83 / $983.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.23 / $361.57 / $493.32
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.23 / $361.57 / $493.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.71 / $398.19 / $1,157.56