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Alaska rates for HCPCS 67901

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.02 / $9,577.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.87 / $949.19 / $6,089.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.61 / $1,182.13 / $6,089.28