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Utah rates for HCPCS 67901

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

Facilitymedian $4,571 · 10th–90th $741–$8,5110%10%10th90th$4,571Professionalmedian $1,023 · 10th–90th $724–$1,4450%10%10th90th$1,023$1.0K$2.0K$5.0K$10.0K

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
$741.31 / $4,570.88 / $8,511.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,570.88 / $6,918.31
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,011.87 / $6,918.31 / $10,471.29
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,023.29 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $4,897.79 / $7,079.46