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California 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
$656.00 / $6,740.58 / $17,809.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,723.50 / $13,926.21 / $45,808.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.62 / $540.08 / $1,480.90
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,141.71 / $1,484.52 / $3,352.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,275.00 / $8,441.00 / $16,676.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.17 / $733.09 / $1,407.94
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$779.74 / $934.45 / $1,051.34
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $9,497.06
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.80 / $632.57 / $1,355.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.31 / $1,458.73 / $1,988.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.68 / $680.99 / $1,305.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.82 / $735.06 / $992.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.28 / $661.55 / $1,242.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,274.32 / $3,362.52 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,569.00 / $7,569.00 / $7,569.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.54 / $773.36 / $1,214.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.26 / $726.85 / $1,423.50
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.59 / $1,580.59 / $1,982.11
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.12 / $751.20 / $1,126.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,359.00 / $15,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.00 / $610.03 / $1,500.05