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Michigan 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)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $32.36 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $40.74 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $30.20 / $63.10
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $33.88 / $43.65
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $26.30 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $33.11 / $44.67