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Connecticut 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
$908.07 / $6,040.31 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.76 / $773.22 / $1,630.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,141.71 / $1,181.43 / $1,492.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,217.00 / $8,931.00 / $11,908.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.19 / $872.51 / $1,112.26
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$633.28 / $1,295.81 / $1,668.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.73 / $832.09 / $1,478.68
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.11 / $711.85 / $1,054.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,565.00 / $7,010.00 / $11,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.35 / $742.24 / $1,735.70