go back

Virginia rates for HCPCS 67901

Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.90 / $4,796.00 / $10,637.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.41 / $971.41 / $971.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.94 / $871.69 / $1,105.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.40 / $816.60 / $1,316.31
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,120.50 / $1,302.00 / $3,252.08
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.66 / $716.08 / $7,420.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $5,979.00 / $13,521.00