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Missouri 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
$22.16 / $32.47 / $42.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.56 / $36.61 / $55.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.23 / $37.19 / $106.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.24 / $38.75 / $788.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.08 / $34.75 / $60.32