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Tennessee 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
$974.00 / $2,794.39 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,518.50 / $5,518.50 / $5,518.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $3,053.00 / $4,630.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,013.28 / $4,129.97 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,064.00 / $3,728.00 / $7,371.00