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Massachusetts 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
$1,000.00 / $2,238.72 / $3,801.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $4,265.80 / $19,498.45
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $912.01 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,981.07 / $9,772.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $4,265.80 / $19,498.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,981.07 / $9,120.11