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Arkansas 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
$588.84 / $1,071.52 / $2,041.74
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $630.96 / $933.25
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $794.33 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,041.74 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $616.60 / $1,000.00