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Kansas 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
$2,757.00 / $6,071.00 / $13,151.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.20 / $1,123.20 / $1,152.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.96 / $1,241.55 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,418.00 / $2,902.00 / $5,565.00