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Utah rates for HCPCS 68420

Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $316.23 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $275.42 / $562.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $549.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,890.45 / $8,912.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $436.52 / $630.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $338.84 / $660.69
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $302.00 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $269.15 / $467.74