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Louisiana 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
$755.12 / $2,060.00 / $4,392.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,908.30 / $3,728.94 / $5,325.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.00 / $965.00 / $965.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.00 / $2,420.00 / $6,585.00