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Pennsylvania 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
$937.33 / $4,264.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.00 / $678.00 / $678.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,063.39 / $5,063.39 / $21,161.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,597.00 / $8,247.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.00 / $678.00 / $678.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.51 / $827.13 / $827.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.00 / $3,475.00 / $6,368.00