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Alaska rates for HCPCS 65875

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,774.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.29 / $931.96 / $4,944.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.96 / $931.96 / $4,944.10