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South 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
$593.84 / $4,375.00 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,153.02 / $4,069.15 / $6,619.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $375.00 / $1,985.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.00 / $593.84 / $836.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $10,257.00 / $16,249.00