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West Virginia 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
$472.59 / $472.59 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.56 / $530.69 / $578.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.27 / $531.27 / $531.27
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,356.45 / $4,356.45 / $4,356.45