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Ohio 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
$704.24 / $2,547.00 / $10,635.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $2,742.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.22 / $695.39 / $1,525.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.27 / $1,124.08 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.08 / $1,124.08 / $1,253.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $4,072.00 / $6,522.00