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.
Original text from hospital filings
I&D LACRIMAL SAC
Arlington, TX
See all hospitals reporting CPT 68420 →Price type
AMH Cath Labs LLC’s median price of $2.4k is 3% below the median hospital's median price ($2.4k), higher than 48% of the 1,505 hospitals reporting CPT 68420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medicaid fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $215 | $215 | — | — | — | $215 – $215 |
| 4 | Molina managed medicaid fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 6 | Blue Cross Blue Shield exchange case rate · outpatient | $283 | $283 | — | — | — | $283 – $283 |
| 7 | Blue Cross Blue Shield hmo case rate · outpatient | $578 | $578 | — | — | — | $578 – $578 |
| 8 | Blue Cross Blue Shield ppo case rate · outpatient | $642 | $642 | — | — | — | $642 – $642 |
| 9 | Blue Cross Blue Shield traditional case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | UnitedHealthcare all payer case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 11 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 12 | Humana medicare advantage case rate · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 13 | Humana medicare advantage ppo case rate · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 14 | Molina medicare advantage case rate · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 15 | WellCare medicare advantage hmo case rate · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 16 | WellCare medicare advantage mmp case rate · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 17 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 18 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 19 | UnitedHealthcare ppo case rate · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
Last updated: Apr 21, 2026
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