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New Tear Drainage Passage Into The Nose

West Virginia rates for HCPCS 68720

Creates a new channel from the tear sac at the inner corner of the eye directly into the nose, bypassing a blocked tear duct. A small opening is made in the bone between the sac and the nasal cavity and the linings are joined so tears drain again. It is done for a duct that is blocked below the sac and cannot be opened by probing.

Rates data updated October 2026.

How much does New Tear Drainage Passage Into The Nose cost?

$3,235

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $3,235 for this procedure. That total is two separate charges: $891 to the doctor who performs it, and $2,344 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$891$708 to $1,202
Facility feeThe hospital or surgery center$2,344$1,479 to $3,388

How much rates vary

Facilitymedian $2,344 · 10th to 90th $1,230 to $10,965Professionalmedian $891 · 10th to 90th $603 to $1,585
$1K$2K$5K$10Kfacility $2,344professional $891

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$812.83
Typical High
$912.01
CareSource
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$1,230.27
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,202.26
Typical High
$3,981.07
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$13,803.84
Median
$13,803.84
Typical High
$13,803.84
United
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$10,964.78
United
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$741.31
Typical High
$1,584.89

Where West Virginia sits

The same service costs 3.6 times more in Vermont than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

West Virginia· 34th of 51

$3,235

$891 physician + $2,344 facility

VT $8,561MT $2,405

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.