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West 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
$857.61 / $857.61 / $2,300.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.32 / $951.49 / $1,036.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.28 / $956.28 / $956.28