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Wyoming rates for HCPCS 67902

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.88 / $723.88 / $723.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.00 / $3,421.00 / $4,105.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.68 / $997.21 / $1,440.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.50 / $1,427.89 / $2,384.19