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Wisconsin rates for HCPCS 68720

Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,659.59 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,511.89 / $3,981.07
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,019.95 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $4,265.80 / $11,481.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,659.59 / $2,398.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $8,912.51 / $8,912.51
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $13,182.57