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Maryland 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
$2,662.40 / $2,662.40 / $2,662.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.00 / $722.49 / $1,018.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.74 / $923.75 / $1,213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.00 / $1,009.00 / $1,009.00