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Alaska rates for HCPCS 67902

Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,821.65 / $3,993.52 / $3,993.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.95 / $924.95 / $2,373.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.49 / $1,059.29 / $5,710.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,741.85 / $2,090.21 / $5,026.02
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,567.50 / $2,907.90 / $3,941.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.29 / $1,059.29 / $5,710.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.00 / $3,379.20 / $4,637.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.97 / $1,898.98 / $5,750.42