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North Carolina 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
$458.83 / $903.00 / $7,362.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.83 / $586.00 / $784.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,593.56 / $6,887.55 / $12,000.00