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Hawaii rates for HCPCS 67225

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)

Professionalmedian $32 · 10th–90th $27–$480%10%20%10th90th$32$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $32.36 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $36.31 / $43.65
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $41.69 / $51.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $33.11 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $33.11 / $47.86
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $30.20 / $39.81