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New York 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
$1,009.39 / $5,250.00 / $11,161.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.04 / $860.48 / $1,852.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,217.00 / $5,196.00 / $11,909.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.76 / $734.33 / $1,675.71
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.84 / $2,644.00 / $12,319.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.84 / $1,014.84 / $1,014.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.94 / $803.94 / $2,203.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.14 / $872.44 / $2,013.50
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $755.60 / $1,824.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.53 / $973.10 / $1,511.20
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.11 / $678.12 / $1,524.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $803.94 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.67 / $905.10 / $2,013.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,063.00 / $5,191.00 / $11,098.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.44 / $808.42 / $1,761.19
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.74 / $982.74 / $1,994.95
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.11 / $982.74 / $1,827.29