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North Dakota 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
$477.41 / $477.41 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.41 / $677.00 / $1,432.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.00 / $2,545.00 / $2,545.00