go back

Maine rates for HCPCS 15823

Blepharoplasty Upper Eyelid W/Excessive Skin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,301.91 / $3,301.91 / $3,301.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.01 / $555.61 / $1,012.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.79 / $692.50 / $1,050.43
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$823.19 / $1,060.35 / $1,575.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.89 / $850.46 / $1,221.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.31 / $833.79 / $1,290.10
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,301.91 / $3,301.91 / $3,301.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.01 / $591.73 / $1,033.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.75 / $840.23 / $1,265.27