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Idaho 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
$4,415.00 / $4,500.00 / $8,439.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.15 / $1,135.22 / $1,800.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,884.56 / $5,546.60 / $7,080.21
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,407.41 / $8,319.90 / $11,041.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.00 / $5,550.00 / $12,233.00