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Washington rates for HCPCS 67902

Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia)

Facilitymedian $2,188 · 10th–90th $1,023–$19,9530%5%10%10th90th$2,188Professionalmedian $1,096 · 10th–90th $676–$2,2390%10%10th90th$1,096$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $10,232.93 / $21,877.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $954.99 / $3,981.07
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $10,232.93 / $20,892.96
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,479.11 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,174.90 / $2,238.72
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,778.28 / $4,570.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,737.80 / $2,511.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $371.54
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,380.38 / $1,445.44
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $977.24
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,548.82 / $2,041.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $10,715.19 / $20,892.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,513.56 / $2,290.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $11,220.18 / $21,877.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,023.29 / $1,949.84
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $851.14 / $1,318.26