go back

Surgical Release Of Adhesions Inside The Eye

Montana rates for HCPCS 65875

Cuts scar-tissue bands that have formed inside the front chamber of the eye and tethered the iris to nearby structures. Fine instruments are passed through a small opening in the eye to divide the bands and free the iris. It is done to restore normal movement of the pupil and normal flow of fluid inside the eye.

Facilitymedian $1,072 · 10th–90th $1,047$1,2880%50%10th90th$1,072$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,071.52
Typical High
$1,288.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$870.96
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,445.44
Typical High
$4,677.35