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Michigan 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
$760.48 / $4,933.00 / $13,063.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,999.17 / $2,330.10 / $3,156.92
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,071.24 / $1,461.70 / $2,055.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.22 / $4,933.00 / $13,063.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.00 / $5,048.00 / $8,339.00