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Utah rates for HCPCS 65865

Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae

Facilitymedian $3,388 · 10th–90th $2,239–$5,1290%10%20%10th90th$3,388Professionalmedian $708 · 10th–90th $457–$1,6600%10%20%10th90th$708$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $3,162.28 / $4,570.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,466.84 / $6,760.83
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $707.95 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $4,677.35 / $7,079.46