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West 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.91 / $627.91 / $2,300.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.77 / $704.58 / $767.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.26 / $704.26 / $704.26