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Texas 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
$853.51 / $3,601.00 / $12,281.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,210.00 / $3,210.00 / $3,210.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,664.27 / $3,076.97 / $6,289.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.82 / $490.82 / $804.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.04 / $1,263.04 / $1,304.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,013.28 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.04 / $807.76 / $1,254.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.04 / $813.24 / $1,304.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $4,061.00 / $8,759.00