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New York 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

Facilitymedian $4,467 · 10th–90th $1,122–$10,4710%5%10th90th$4,467$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $4,168.69 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,786.30 / $9,772.37
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $2,398.83 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $2,511.89 / $53,703.18
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $707.95 / $2,089.30
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,981.07 / $8,709.64
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $851.14 / $1,737.80