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Arizona rates for HCPCS 68850

Injection of contrast medium for dacryocystography

Facilitymedian $1,738 · 10th–90th $63–$5,6230%5%10%10th90th$1,738Professionalmedian $63 · 10th–90th $50–$1290%10%20%10th90th$63$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$1,445.44 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $61.66 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $239.88 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $58.88 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $67.61 / $147.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $70.79 / $812.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $97.72 / $3,467.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,047.13 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $64.57 / $112.20