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Balloon Opening of a Blocked Tear Duct

Virginia rates for HCPCS 68816

Opens a blocked tear duct by passing a fine probe down the drainage channel from the eyelid towards the nose, then inflating a small balloon inside it to stretch the passage open. It treats a constantly watery, sticky eye caused by tears that cannot drain away.

Facilitymedian $2,818 · 10th–90th $200$7,9430%5%10%10th90th$2,818Professionalmedian $977 · 10th–90th $832$1,2020%20%10th90th$977$100.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$3,235.94
Typical High
$7,244.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$977.24
Typical High
$1,202.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,047.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$616.60
Typical High
$1,318.26
Sentara
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$263.03
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,025.60
Typical High
$12,882.50