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California rates for HCPCS 65875

Severing Ads Ant Seg Incal Spx Post Synechiae

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,956.72 / $7,281.00 / $17,902.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,275.00 / $8,441.00 / $16,676.00
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 / $760.54 / $1,026.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.69 / $792.09 / $1,473.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,440.16 / $11,500.00 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.87 / $813.76 / $1,217.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,359.00 / $15,471.00