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Virginia 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
$23.15 / $28.13 / $36.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.60 / $31.27 / $44.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $62.44 / $916.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $33.83 / $55.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.74 / $31.46 / $40.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $42.00 / $55.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.66 / $36.31 / $1,380.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.85 / $28.57 / $52.88