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West Virginia 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
$722.96 / $722.96 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.75 / $722.96 / $1,264.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.03 / $813.04 / $885.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.73 / $745.28 / $880.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.94 / $803.94 / $803.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.26 / $853.01 / $3,358.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.88 / $661.27 / $1,035.59