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Kentucky 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
$627.13 / $860.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.08 / $740.85 / $910.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,288.00 / $4,261.00 / $11,262.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.80 / $596.24 / $925.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.54 / $911.41 / $1,041.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.01 / $911.41 / $1,302.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.16 / $803.94 / $1,728.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.67 / $797.92 / $1,529.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $455.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $3,828.00 / $8,582.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.87 / $745.34 / $1,198.88