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North Carolina 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
$831.76 / $2,344.23 / $10,471.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $7,244.36 / $10,471.29
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $6,918.31 / $33,884.42