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Washington rates for HCPCS 68520

Excision of lacrimal sac (dacryocystectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $7,943.28 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $3,801.89
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,778.28 / $9,549.93
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,348.96 / $1,479.11
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,000.00 / $1,047.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $10,964.78 / $20,892.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $12,022.64 / $22,387.21