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Medicated Insert Placed In The Tear Duct

Wisconsin rates for HCPCS 0356T

A small implant that slowly releases medication is placed into the tear drainage channel at the inner corner of the eyelid. The opening is gently widened first, and an insert already in place is taken out if there is one. Sitting in the tear duct, it delivers medicine to the surface of the eye over a period of time without the need for drops.

Rates data updated July 2026.

How much does Medicated Insert Placed In The Tear Duct cost?

$148

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $331 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$129$105 to $155
FacilityA hospital or hospital-owned outpatient department$331$282 to $5,370

How much rates vary

Facilitymedian $331 · 10th to 90th $251 to $20,893Professionalmedian $129 · 10th to 90th $87 to $174
$100$500$2K$10Kfacility $331professional $129

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$295.12
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$128.82
Typical High
$154.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$251.19
Typical High
$251.19
Quartz
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$407.38
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$17,782.79
Typical High
$20,892.96

Where Wisconsin sits

The same service costs 1698.2 times more in Kentucky than in Idaho. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 29th of 39

$148

KY $51,286ID $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.