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Wisconsin 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 $4,571 · 10th–90th $1,950–$7,7620%10%10th90th$4,571Professionalmedian $977 · 10th–90th $457–$1,5140%10%20%10th90th$977$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
$724.44 / $977.24 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,570.88 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,479.11 / $2,398.83
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $1,778.28 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $4,073.80 / $8,317.64
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $5,754.40 / $7,762.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $977.24 / $1,479.11
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $6,918.31 / $6,918.31
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,238.72
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $7,413.10 / $9,120.11