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New York rates for HCPCS 67901

Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia)

Facilitymedian $4,571 · 10th–90th $912–$11,4820%5%10th90th$4,571$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $4,265.80 / $12,022.64
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,786.30 / $9,549.93
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $2,630.27 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $2,290.87 / $53,703.18
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $691.83 / $1,905.46
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,981.07 / $8,709.64
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $794.33 / $1,698.24