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Virginia 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
$1,103.11 / $5,360.00 / $9,975.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.28 / $956.28 / $956.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.71 / $937.30 / $1,199.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.36 / $962.46 / $1,522.31
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.78 / $994.71 / $9,210.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,270.00 / $17,192.00