go back

North Dakota 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
$630.96 / $676.08 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $891.25 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,311.31 / $5,128.61