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Oklahoma 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
$1,300.00 / $4,192.00 / $13,200.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,085.32 / $6,507.58 / $10,390.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.68 / $1,266.68 / $1,266.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.45 / $1,807.00 / $6,698.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,900.00 / $5,543.93