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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
$25.83 / $35.97 / $39.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $28.04 / $46.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.61 / $28.77 / $52.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.24 / $34.74 / $42.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.25 / $18.53 / $75.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.29 / $34.67 / $48.11