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Alaska rates for HCPCS 67903

Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.14 / $9,577.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.76 / $585.97 / $3,259.70
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$503.60 / $1,523.88 / $1,897.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.48 / $943.48 / $1,917.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.61 / $725.34 / $4,661.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.58 / $1,594.12 / $3,130.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,717.50 / $2,255.55 / $3,102.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.65 / $894.43 / $4,661.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.65 / $2,255.55 / $3,151.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.52 / $1,534.18 / $4,645.74