go back

Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.65 / $849.19 / $1,132.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,116.89 / $5,756.01 / $7,201.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.00 / $5,550.00 / $12,233.00