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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
$1,778.28 / $4,677.35 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $812.83 / $1,479.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $660.69 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $851.14 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $3,090.30 / $26,302.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $954.99 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,318.26