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Minnesota 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
$627.02 / $863.47 / $6,781.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,483.63 / $4,428.85 / $8,819.95
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,328.39 / $8,084.34 / $14,175.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.14 / $2,830.81 / $6,809.90
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,622.74 / $2,588.04 / $5,362.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.77 / $1,195.66 / $3,312.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$13,164.75 / $13,164.75 / $13,164.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,289.00 / $8,193.00