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South Carolina 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
$1,698.24 / $10,471.29 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,623.41 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $10,964.78 / $16,982.44