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West Virginia rates for HCPCS 68500

Excision of lacrimal gland (dacryoadenectomy), except for tumor; total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.64 / $1,058.64 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.07 / $1,058.64 / $1,857.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.05 / $1,176.77 / $1,282.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.59 / $1,078.70 / $1,274.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.98 / $1,179.98 / $1,179.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.61 / $1,234.61 / $4,906.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,910.00 / $2,910.00 / $2,910.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.50 / $965.58 / $1,443.26