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Biopsy of the Tear Sac

Wisconsin rates for HCPCS 68525

Takes a sample of tissue from the tear sac, the small pouch beside the nose that collects tears before they drain into the nasal cavity. The sample is examined under a microscope to find out what is behind a swelling, a blockage, or a lump in that area. The sac itself is left in place.

Facilitymedian $4,786 · 10th–90th $1,905$7,7620%10%10th90th$4,786Professionalmedian $490 · 10th–90th $229$7590%10%20%10th90th$490$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$524.81
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,786.30
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$776.25
Typical High
$1,230.27
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$1,698.24
Typical High
$3,801.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$4,073.80
Typical High
$8,317.64
Network Health
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$5,754.40
Typical High
$7,762.47
Quartz
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$489.78
Typical High
$758.58
Quartz
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$5,754.40
Typical High
$5,754.40
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Security Health
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$7,413.10
Typical High
$9,120.11