go back

Maine rates for HCPCS 68801

Dilation Lacrimal Punctum W/Wo Irrgation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.50 / $622.50 / $622.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.90 / $118.80 / $149.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $100.24 / $129.32
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$122.39 / $150.36 / $193.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.98 / $153.68 / $192.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.69 / $117.06 / $182.15
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.50 / $622.50 / $622.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.90 / $118.79 / $149.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.60 / $135.78 / $178.61