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Arizona 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
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,315.71 / $2,315.71 / $2,315.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,670.74 / $5,814.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.00 / $749.00 / $979.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.21 / $1,145.54 / $4,174.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,113.00 / $3,533.00 / $5,546.00