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California rates for HCPCS 65870

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $7,281.00 / $17,902.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $6,945.00 / $13,707.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $9,497.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.31 / $1,726.46 / $2,353.27
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.03 / $712.88 / $962.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.84 / $742.89 / $1,363.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,230.28 / $11,500.00 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.84 / $772.81 / $1,152.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,359.00 / $15,471.00