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Nationwide rates for HCPCS 68420

Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy)

Facilitymedian $3,020 · 10th–90th $355–$8,7100%5%10%10th90th$3,020Professionalmedian $324 · 10th–90th $166–$6460%10%20%10th90th$324$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $2,884.03 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $316.23 / $562.34
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $4,466.84 / $10,471.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $269.15 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $1,000.00 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $354.81 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $2,041.74 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $295.12 / $588.84

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