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California rates for HCPCS 68420

Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy)

Facilitymedian $4,467 · 10th–90th $1,445$13,1830%10%10th90th$4,467Professionalmedian $324 · 10th–90th $158$1,0470%5%10th90th$324$50.0$200.0$1.0K$5.0K$20.0K

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
$1,659.59 / $5,888.44 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $323.59 / $1,047.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $4,570.88 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $257.04 / $676.08
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $4,570.88 / $8,912.51
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $346.74 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $446.68 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $331.13 / $691.83
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $229.09 / $524.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $338.84 / $660.69
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $2,630.27
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $3,162.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $457.09
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $331.13 / $562.34
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $331.13 / $724.44
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $1,096.48
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $331.13 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $2,951.21 / $7,943.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $275.42 / $588.84