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Maryland rates for HCPCS 68770

Closure of lacrimal fistula (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,489.44 / $1,489.44 / $1,489.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.15 / $746.46 / $793.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.00 / $668.98 / $702.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $634.82 / $1,018.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.19 / $665.62 / $1,103.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.20 / $735.08 / $1,023.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $294.00 / $294.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.86 / $585.91 / $1,126.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.63 / $671.68 / $735.08