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Nebraska 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
$742.59 / $8,477.27 / $21,899.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,104.22 / $6,659.73 / $12,985.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.00 / $1,539.00 / $1,539.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.73 / $1,134.59 / $4,217.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.05 / $1,651.86 / $2,131.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,711.00 / $5,483.00 / $7,934.00