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
INJECTION FOR TEAR SAC X-RAY
Boulder, CO
See all hospitals reporting CPT 68850 →Price type
Boulder Community Health’s median price of $64 is 87% below the median hospital's median price ($512), higher than 15% of the 1,246 hospitals reporting CPT 68850. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 27 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 | Aetna medicare advantage professional · case rate · both | $47 | $47 | — | — | — | $47 – $47 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $47 | $47 | — | — | — | $47 – $47 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $47 | $47 | — | — | — | $47 – $47 |
| 4 | Humana medicare advantage professional · fee schedule · both | $47 | $47 | — | — | — | $47 – $47 |
| 5 | UnitedHealthcare medicare advantage professional · fee schedule · both | $52 | $52 | $6 | 11% | — | $47 – $58 |
| 6 | Anthem managed care facility · fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 7 | Kaiser medicare advantage professional · fee schedule · both | $58 | $58 | — | — | — | $58 – $58 |
| 8 | Aetna medicare advantage facility · case rate · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 9 | Anthem medicare advantage facility · case rate · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 10 | Humana medicare advantage facility · case rate · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 12 | Kaiser medicare advantage facility · case rate · outpatient | $60 | $60 | $0 | 1% | — | $59 – $60 |
| 13 | Devoted medicare advantage facility · case rate · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 14 | Anthem commercial facility · fee schedule · outpatient | $51 | $64 | $31 | 49% | — | $45 – $134 |
| 15 | Anthem commercial professional · fee schedule · both | $64 | $70 | $10 | 14% | — | $64 – $86 |
| 16 | Kaiser commercial professional · fee schedule · both | $74 | $74 | — | — | — | $74 – $74 |
| 17 | MultiPlan commercial professional · fee schedule · both | $80 | $80 | — | — | — | $80 – $80 |
| 18 | Phcs commercial professional · fee schedule · both | $80 | $80 | — | — | — | $80 – $80 |
| 19 | Cigna commercial facility · fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 20 | Anthem managed care professional · fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
| 21 | Cigna commercial professional · fee schedule · both | $87 | $87 | — | — | — | $87 – $87 |
| 22 | Aetna commercial professional · fee schedule · both | $109 | $109 | — | — | — | $109 – $109 |
| 23 | Aetna ppo professional · fee schedule · both | $109 | $109 | — | — | — | $109 – $109 |
| 24 | UnitedHealthcare commercial professional · fee schedule · both | $110 | $110 | — | — | — | $110 – $110 |
| 25 | Kaiser commercial facility · case rate · outpatient | $127 | $127 | $15 | 12% | — | $111 – $142 |
Last updated: Sep 16, 2026
See Tear duct X-ray contrast injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.