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Arizona 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
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.62 / $575.24 / $1,010.03
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,141.71 / $1,181.43 / $1,492.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,228.01 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.35 / $455.99 / $544.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.00 / $775.00 / $858.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.96 / $582.84 / $1,154.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.29 / $892.59 / $3,911.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.49 / $611.46 / $7,569.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,286.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.70 / $583.44 / $1,125.06