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Missouri 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
$1,760.00 / $5,389.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.10 / $802.71 / $1,471.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.38 / $814.45 / $1,214.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.00 / $831.00 / $1,756.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.03 / $850.69 / $1,493.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.71 / $2,496.00 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.43 / $869.63 / $5,403.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.99 / $857.83 / $1,399.54