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West Virginia 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
$585.78 / $787.21 / $2,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.80 / $659.17 / $718.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.41 / $971.41 / $971.41
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,144.58 / $9,144.58 / $9,144.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,450.00 / $2,450.00 / $2,450.00