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Colorado 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
$2,018.00 / $5,503.00 / $10,651.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.36 / $781.08 / $1,165.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.10 / $868.56 / $1,174.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,645.00 / $6,090.00 / $14,057.00