go back

New Mexico 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
$668.41 / $2,095.00 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,467.27 / $8,543.52 / $13,257.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,800.00 / $3,800.00 / $3,800.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.27 / $742.20 / $2,100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $5,971.00 / $8,422.00