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Wisconsin rates for HCPCS 68420

Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $501.19 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $316.23 / $537.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $380.19 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,047.13 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $549.54 / $1,230.27
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $446.68 / $3,548.13
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $549.54 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $478.63 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $741.31 / $3,090.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $416.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $512.86 / $1,071.52
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,630.27 / $2,630.27
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $831.76 / $3,162.28
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,621.81 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,090.30 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $426.58 / $1,318.26