go back

Ohio 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
$782.52 / $5,635.00 / $11,561.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $2,897.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.79 / $861.60 / $1,289.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.77 / $971.41 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.77 / $949.77 / $1,059.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $4,321.00 / $7,351.00