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Pennsylvania rates for HCPCS 68801

Dilation of lacrimal punctum, with or without irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $4,786.30 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $104.71 / $218.78
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$109.65 / $173.78 / $660.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,258.93 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $95.50 / $158.49
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$138.04 / $144.54 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $104.71 / $173.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $158.49
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $109.65 / $194.98
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $977.24 / $1,778.28
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,778.28
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $117.49 / $120.23
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$165.96 / $173.78 / $173.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $3,801.89 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $109.65 / $229.09
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$109.65 / $173.78 / $870.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $269.15 / $269.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $117.49 / $257.04
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $91.20 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $1,174.90 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $95.50 / $162.18