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Missouri 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
$1,547.00 / $5,389.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $730.00 / $1,756.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.26 / $2,652.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,472.07 / $3,347.00 / $6,854.00