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Delaware 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
$6,316.00 / $6,316.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.40 / $815.14 / $863.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $899.00 / $899.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.74 / $643.63 / $1,033.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.20 / $635.66 / $1,622.49