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Florida 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
$1,148.15 / $4,897.79 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $776.25 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,584.89 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $776.25 / $1,584.89
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $12,022.64 / $22,908.68
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $724.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $7,585.78 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $1,174.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $707.95