| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.09 | $31.09 | $34.70 | |
Cigna
| Professional | $23.48 | $26.10 | $40.42 | |
United
| Professional | $24.31 | $26.41 | $67.20 |
Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.09 | $31.09 | $34.70 | |
Cigna
| Professional | $23.48 | $26.10 | $40.42 | |
United
| Professional | $24.31 | $26.41 | $67.20 |