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Missouri 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
$896.18 / $4,579.00 / $9,823.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.00 / $831.00 / $1,135.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.36 / $1,635.40 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.00 / $2,849.00 / $5,200.00