go back

Michigan 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
$1,108.46 / $1,149.52 / $6,906.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,634.69 / $3,070.82 / $4,160.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.09 / $1,108.46 / $6,906.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,500.00 / $10,556.00