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Arkansas rates for HCPCS 65880

Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.33 / $1,517.00 / $9,034.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,063.64 / $4,063.64 / $4,876.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,639.64 / $1,639.64 / $1,639.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $1,511.00 / $4,064.00