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Utah 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
$598.72 / $3,038.00 / $8,194.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,310.39 / $4,430.70 / $6,456.79
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,965.59 / $6,646.05 / $9,685.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $4,455.00 / $7,048.00