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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
$915.68 / $1,520.00 / $2,250.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,149.06 / $2,149.06 / $2,149.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.56 / $611.67 / $1,155.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,204.00 / $2,674.66 / $3,598.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.76 / $1,003.20 / $1,161.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.58 / $515.66 / $1,840.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.00 / $2,891.00 / $4,402.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.96 / $582.84 / $736.22