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Washington 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
$1,287.61 / $6,470.00 / $21,917.86
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.03 / $10,956.90 / $24,231.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.00 / $906.00 / $3,759.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.62 / $1,754.31 / $3,376.68
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.90 / $1,552.39 / $1,718.55
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.36 / $1,143.36 / $1,172.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,105.06 / $10,950.64 / $20,959.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.00 / $2,155.00 / $11,941.00