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Maryland rates for HCPCS 68750

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $634.82 / $1,575.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.38 / $1,006.69 / $1,313.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.00 / $1,386.00 / $1,386.00