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Wisconsin 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
$1,293.79 / $3,150.58 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.65 / $2,676.80 / $4,317.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.68 / $1,083.53 / $1,756.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.37 / $4,240.00 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.68 / $1,083.53 / $2,055.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.20 / $2,017.22 / $2,863.34
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,001.70 / $9,001.70 / $9,001.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,837.00 / $12,062.00