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Pennsylvania 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
$26.09 / $29.02 / $39.67
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.82 / $29.91 / $41.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.12 / $30.26 / $52.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.27 / $34.27 / $44.19
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.58 / $32.52 / $34.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.65 / $33.02 / $1,234.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.00 / $47.00 / $47.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.02 / $30.38 / $51.92
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.64 / $28.18 / $40.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.80 / $34.06 / $53.37