| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.46 | $27.46 | $29.20 | |
BCBS
| Professional | $80.00 | $129.00 | $137.00 | |
Cigna
| Professional | $30.27 | $39.35 | $57.51 | |
United
| Professional | $31.74 | $59.21 | $96.21 |
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 | $27.46 | $27.46 | $29.20 | |
BCBS
| Professional | $80.00 | $129.00 | $137.00 | |
Cigna
| Professional | $30.27 | $39.35 | $57.51 | |
United
| Professional | $31.74 | $59.21 | $96.21 |