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Pennsylvania rates for HCPCS 68420

Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy)

Facilitymedian $2,692 · 10th–90th $661–$8,3180%5%10%10th90th$2,692Professionalmedian $309 · 10th–90th $158–$5010%20%10th90th$309$10.0$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
$724.44 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $309.03 / $501.19
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $6,165.95 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $323.59 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $295.12 / $524.81
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $562.34
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $338.84 / $549.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $1,995.26 / $7,244.36
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $316.23 / $602.56
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $436.52 / $776.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $158.49 / $501.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $162.18 / $346.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $3,019.95 / $7,585.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $288.40 / $512.86