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Nevada 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
$1,642.00 / $3,042.00 / $6,953.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,072.00 / $3,931.00 / $5,258.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.64 / $1,277.64 / $1,277.64
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $749.93 / $1,459.63
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,520.62 / $2,520.62 / $2,520.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.00 / $2,947.00 / $7,138.00