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Washington, DC 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
$1,038.92 / $2,420.67 / $6,996.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,863.50 / $8,863.50 / $8,863.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.69 / $1,342.72 / $1,845.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $6,073.00 / $26,408.00