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Pennsylvania 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
$1,380.38 / $6,165.95 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $1,479.11
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $741.31 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $741.31 / $1,318.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,023.29
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $1,148.15
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $11,220.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $5,248.07 / $9,549.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $891.25 / $2,290.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $1,288.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $691.83 / $691.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $691.83 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $4,168.69 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $758.58 / $1,348.96