go back

Michigan rates for HCPCS 68420

Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $309.03 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $263.03 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $275.42 / $645.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $346.74 / $478.63
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $239.88 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,454.71 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $295.12 / $436.52