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Idaho 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
$3,388.44 / $4,466.84 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $3,388.44 / $6,025.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,047.13 / $4,466.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $5,248.07 / $7,585.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $5,495.41 / $12,302.69