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New York 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
$765.30 / $4,683.00 / $11,396.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,800.75 / $11,149.37 / $11,149.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.97 / $2,644.00 / $12,319.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.41 / $971.41 / $1,424.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $640.50 / $1,488.15
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $971.41 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $3,963.00 / $8,208.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.34 / $798.34 / $1,717.48