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Wisconsin rates for HCPCS 68816

Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation

Facilitymedian $4,677 · 10th–90th $1,479–$7,7620%10%10th90th$4,677Professionalmedian $912 · 10th–90th $251–$2,6920%5%10%10th90th$912$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $1,318.26 / $3,090.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,786.30 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,691.53 / $4,365.16
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $1,318.26 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $1,479.11 / $8,317.64
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $5,754.40 / $7,762.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $912.01 / $2,691.53
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,754.40 / $5,754.40
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $4,265.80
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $3,235.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $7,413.10 / $9,120.11