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Minnesota 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
$676.08 / $676.08 / $6,760.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,365.16 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,344.23 / $5,623.41
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,238.72 / $4,466.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,174.90 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,248.07 / $8,912.51