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Arizona 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
$2,137.96 / $4,677.35 / $8,709.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,511.89 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $851.14 / $851.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,318.26 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,019.95 / $5,370.32