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North Dakota 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
$725.15 / $725.15 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.15 / $769.99 / $769.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.81 / $1,511.22 / $1,785.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.66 / $1,341.07 / $2,243.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.15 / $1,007.34 / $2,175.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.86 / $1,301.24 / $1,891.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.00 / $3,228.00 / $3,228.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.86 / $1,168.73 / $1,715.25