go back

California 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
$3,715.35 / $8,912.51 / $21,379.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $10,471.29 / $17,782.79
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $2,951.21 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,737.80 / $2,344.23
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $676.08 / $912.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $691.83 / $1,202.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $33,884.42 / $33,884.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $776.25 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $7,413.10 / $15,135.61