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Surgical Release Of Adhesions Inside The Eye

Rhode Island rates for HCPCS 65875

Cuts scar-tissue bands that have formed inside the front chamber of the eye and tethered the iris to nearby structures. Fine instruments are passed through a small opening in the eye to divide the bands and free the iris. It is done to restore normal movement of the pupil and normal flow of fluid inside the eye.

Rates data updated July 2026.

How much rates vary

Facilitymedian $3,802 · 10th to 90th $2,754 to $7,413
$2.0K$5.0K$10.0Kfacility $3,802

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,715.35
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$7,585.78