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New Jersey 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
$787.11 / $6,625.00 / $11,298.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,017.54 / $5,544.92 / $11,261.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,885.00 / $7,250.00 / $10,536.00