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New Mexico 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 $29–$510%20%10th90th$35$5.0$10.0$20.0$50.0$100.0$200.0

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
$28.84 / $33.88 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $34.67 / $50.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $32.36 / $40.74
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $34.67 / $47.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $39.81 / $56.23