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North Carolina 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
$566.04 / $1,166.60 / $11,112.36
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$12,133.83 / $12,133.83 / $12,133.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.04 / $771.59 / $1,145.54
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$824.73 / $1,117.50 / $2,012.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,353.00 / $6,885.00 / $9,616.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,013.28 / $4,013.28 / $26,542.00