go back

Hawaii rates for HCPCS 68770

Closure of lacrimal fistula (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $707.95 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $794.33
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,122.02 / $2,691.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $676.08 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $776.25 / $1,023.29
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $3,311.31 / $7,585.78