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Maine 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
50
Low / Median / High Price
$3,301.55 / $3,301.55 / $3,301.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.71 / $1,144.71 / $1,144.71
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,301.55 / $3,301.55 / $3,301.55