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Indiana 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
$592.13 / $2,318.00 / $14,063.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $6,653.00 / $11,752.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.05 / $765.84 / $1,158.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.00 / $704.26 / $1,627.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.00 / $5,995.00 / $10,413.00