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California 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
$699.10 / $7,989.00 / $18,681.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,487.87 / $8,487.87 / $65,923.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.00 / $8,774.00 / $18,030.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $11,002.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.88 / $1,458.73 / $1,988.34
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.67 / $901.44 / $1,318.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.15 / $856.12 / $1,641.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,013.28 / $4,129.97 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.01 / $861.81 / $1,335.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,693.00 / $7,106.00 / $14,743.00