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Alaska rates for HCPCS 68750

Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,433.37 / $9,774.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.28 / $1,265.54 / $6,683.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,265.54 / $1,265.54 / $6,683.52