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New York 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 $34 · 10th–90th $25–$910%10%10th90th$34$20.0$100.0$500.0$2.0K$10.0K

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
$25.70 / $33.88 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $29.51 / $70.79
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $40.74 / $100.00
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $40.74 / $63.10
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $38.90 / $79.43
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $43.65 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $33.88 / $81.28
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $38.90 / $81.28