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New York 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
$814.46 / $4,792.00 / $10,526.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.88 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.52 / $659.52 / $1,685.80
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $620.55 / $1,500.28
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $659.52 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $4,370.00 / $9,187.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.10 / $806.10 / $1,668.97