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Alabama 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
$1,023.29 / $1,513.56 / $2,398.83
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $741.31 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$501.19 / $2,041.74 / $3,388.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,691.53 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $512.86 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,951.21 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $537.03 / $707.95