Dilation of tear duct opening

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Dilation Lacrimal Punctum W/WO Irrgation

Payers reporting CPT 68801

Payer pricing summary

Low

$80

Average

$902

Median

$562

High

$6.8k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +25 other terms	306	$407	$531	$885	167%	4–40	$1 – $12.8k
2	UnitedHealthcare fee schedule · outpatient · +31 other terms	441	$445	$1.0k	$1.6k	157%	1–10	$1 – $17.9k
3	Aetna fee schedule · outpatient · +30 other terms	429	$479	$1.7k	$3.7k	212%	—	$1 – $33.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	354	$757	$1.4k	$2.2k	157%	—	$0 – $21.6k
5	Cigna case rate · outpatient · +25 other terms	241	$1.8k	$4.5k	$7.3k	161%	—	$0 – $40.7k
6	Molina fee schedule · outpatient · +25 other terms	160	$400	$435	$265	61%	—	$1 – $1.2k
7	WellCare fee schedule · outpatient · +15 other terms	145	$426	$529	$559	106%	—	$65 – $4.3k
8	Oscar case rate · outpatient · +17 other terms	130	$2.5k	$2.6k	$826	32%	—	$624 – $7.5k
9	Anthem fee schedule · outpatient · +23 other terms	124	$391	$460	$731	159%	—	$46 – $6.3k
10	Kaiser fee schedule · outpatient · +16 other terms	100	$524	$713	$732	103%	—	$15 – $4.3k
11	Devoted fee schedule · outpatient · +10 other terms	68	$426	$396	$116	29%	—	$78 – $499
12	Optum fee schedule · outpatient · +22 other terms	63	$366	$404	$315	78%	—	$69 – $1.6k
13	Ambetter facility · fee schedule · outpatient · +13 other terms	58	$761	$947	$1.2k	131%	—	$134 – $8.2k
14	Healthcare Highways case rate · outpatient · +1 other terms	42	$5.8k	$6.8k	$5.0k	74%	—	$2.1k – $14.6k
15	Superior Healthplan case rate · outpatient · +4 other terms	38	$948	$933	$60	6%	—	$600 – $948
16	Caresource facility · fee schedule · outpatient · +12 other terms	31	$687	$1.0k	$1.5k	147%	—	$105 – $8.0k
17	MultiPlan fee schedule · outpatient · +17 other terms	31	$586	$608	$116	19%	—	$48 – $643
18	Tricare fee schedule · outpatient · +15 other terms	31	$405	$929	$1.6k	177%	—	$73 – $5.1k
19	Clover fee schedule · outpatient · +8 other terms	30	$446	$989	$1.3k	132%	—	$397 – $4.4k
20	Bcbs Tx fee schedule · outpatient · +2 other terms	29	$532	$556	$243	44%	—	$284 – $1.5k
21	Medica case rate · outpatient · +17 other terms	28	$881	$1.0k	$661	64%	—	$320 – $2.9k
22	Medicare fee schedule · outpatient · +14 other terms	27	$78	$675	$1.2k	182%	—	$70 – $4.2k
23	Bcbs La fee schedule · outpatient · +1 other terms	25	$384	$431	$184	43%	—	$71 – $1.0k
24	Highmark fee schedule · outpatient · +11 other terms	22	$391	$417	$359	86%	—	$48 – $1.9k
25	Regence professional · fee schedule · outpatient · +11 other terms	21	$96	$100	$36	36%	—	$60 – $237

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