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Iowa 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
$1,096.48 / $4,786.30 / $7,079.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $794.33 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,949.84 / $7,079.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,445.44 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $5,754.40 / $7,585.78