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Nebraska 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
$4,570.88 / $7,943.28 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $3,981.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,606.93 / $12,882.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,148.15 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,698.24 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,412.54 / $8,912.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,380.38 / $2,041.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $2,187.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,584.89 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,888.44 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,412.54 / $1,819.70