go back

Arkansas 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
$831.76 / $1,819.70 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $776.25 / $1,258.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $4,897.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $891.25 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,818.38 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,318.26