go back

Virginia 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 $3,981 · 10th–90th $661–$9,7720%5%10th90th$3,981Professionalmedian $724 · 10th–90th $537–$7940%20%10th90th$724$500.0$1.0K$2.0K$5.0K$10.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $5,370.32 / $9,772.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,047.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $616.60 / $794.33
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $870.96
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $758.58 / $1,202.26
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $794.33 / $8,709.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,025.60 / $12,882.50