| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.50 | $29.70 | $48.20 | |
CareSource
| Professional | $28.03 | $30.35 | $36.19 | |
Cigna
| Professional | $26.15 | $35.40 | $126.28 | |
United
| Professional | $22.95 | $32.21 | $47.08 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.50 | $29.70 | $48.20 | |
CareSource
| Professional | $28.03 | $30.35 | $36.19 | |
Cigna
| Professional | $26.15 | $35.40 | $126.28 | |
United
| Professional | $22.95 | $32.21 | $47.08 |