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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
$4,466.84 / $7,413.10 / $11,748.98
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,413.10 / $11,481.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $6,606.93 / $10,964.78