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New Hampshire 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
$26.92 / $30.20 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $41.69 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $51.29 / $81.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $45.71 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $42.66 / $83.18