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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
$935.01 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.33 / $935.01 / $969.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,634.69 / $3,070.82 / $4,160.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.35 / $1,019.02 / $1,789.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.59 / $705.86 / $1,309.41
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.23 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.60 / $793.90 / $1,179.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.38 / $524.55 / $818.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,500.00 / $10,556.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.89 / $842.72 / $1,167.05