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Tennessee 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
$1,150.00 / $3,329.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.74 / $909.51 / $1,086.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,358.00 / $4,002.00 / $6,090.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.29 / $900.01 / $1,968.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.47 / $838.93 / $1,423.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,941.64 / $9,001.70 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,250.32 / $5,403.04 / $5,943.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,722.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.86 / $752.99 / $1,351.16