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Hawaii rates for HCPCS 65865

Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.50 / $2,747.00 / $2,898.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.29 / $588.32 / $686.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00