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Maryland rates for HCPCS 65875

Severing Ads Ant Seg Incal Spx Post Synechiae

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.05 / $757.82 / $1,885.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $634.82 / $1,205.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.79 / $742.67 / $968.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.00 / $1,009.00 / $1,009.00