| Code | Description | States | Median rate |
|---|---|---|---|
| 68371 | Conjunctiva graft harvest from a living donor | 32 | $313.24 |
| 68500 | Tear gland removal, total | 48 | $745.12 |
| 68505 | Tear gland removal, partial | 48 | $742.18 |
| 68520 | Tear sac removal | 48 | $533.88 |
| 68525 | Tear sac biopsy | 47 | $197.35 |
| 68540 | Tear gland tumor removal, front approach | 48 | $695.79 |
| 68550 | Tear gland tumor removal with bone cut | 48 | $856.15 |
| 68720 | Tear sac bypass into the nose (DCR), open | 48 | $594.68 |
| 68761 | Closure of a tear duct opening with a plug | 48 | $120.52 |
| 68770 | Closure of a tear duct fistula | 48 | $445.43 |
| 68801 | Dilation of a blocked tear duct opening | 47 | $81.42 |
| 68810 | Tear duct probing | 47 | $139.18 |
| 68811 | Tear duct probing under general anesthesia | 48 | $116.70 |
| 68841 | Drug-releasing implant in a tear duct, each | 36 | $32.40 |
| 68850 | Dye injection for a tear duct X-ray | 46 | $47.75 |
| 68899 | Unlisted tear duct procedure | 11 | $241.04 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.