go back

Michigan 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
$764.90 / $4,929.47 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,303.57 / $2,684.89 / $3,637.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.59 / $832.89 / $6,906.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,708.00 / $8,884.00