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Texas rates for HCPCS 67901

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

Facilitymedian $3,548 · 10th–90th $891–$12,0230%5%10th90th$3,548$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$1,000.00 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,235.94 / $8,912.51 / $8,912.51
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,162.28 / $6,309.57
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,995.26 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,318.26
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $42,657.95 / $42,657.95
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $977.24 / $4,897.79
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$8,912.51 / $8,912.51 / $8,912.51
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $831.76 / $1,258.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $3,548.13 / $7,244.36