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Missouri 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
$818.00 / $3,131.00 / $8,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.00 / $386.00 / $1,344.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.44 / $1,981.00 / $12,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00