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Nationwide rates for HCPCS 67901

Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia)

Facilitymedian $5,012 · 10th–90th $977–$13,1830%5%10%10th90th$5,012Professionalmedian $1,072 · 10th–90th $562–$2,5700%10%10th90th$1,072$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $4,786.30 / $12,022.64
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,570.40 / $8,317.64 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $7,762.47 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $2,290.87 / $5,888.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,981.07 / $9,120.11

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