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Virginia rates for HCPCS 68720

Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $5,370.32 / $9,772.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,413.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $794.33 / $1,023.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,047.13 / $1,288.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $954.99 / $1,479.11
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $977.24 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $9,549.93 / $19,054.61