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Maine 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 $35 · 10th–90th $27–$550%10%20%10th90th$35$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 / $33.88 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $37.15 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $45.71 / $63.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $36.31 / $54.95
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $33.88 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $38.02 / $51.29