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Michigan 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
$4,897.79 / $4,897.79 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $831.76 / $1,258.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $1,548.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $4,897.79 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $831.76 / $1,174.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $645.65 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $6,309.57 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $1,071.52