go back

New York rates for HCPCS 67875

Temporary closure of eyelids by suture (eg, Frost suture)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.26 / $2,660.00 / $7,235.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,257.31 / $5,257.31 / $5,257.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $153.50 / $311.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.88 / $168.74 / $421.29
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.97 / $133.97 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.97 / $133.97 / $263.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.44 / $159.44 / $688.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.52 / $166.59 / $428.08
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.16 / $163.07 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.43 / $240.03 / $378.92
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.04 / $165.54 / $382.07
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.11 / $116.11 / $116.11
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.44 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $208.17 / $449.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $3,908.00 / $8,133.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.09 / $204.03 / $443.94
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.52 / $129.52 / $304.93
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.04 / $240.82 / $467.26