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Washington, DC 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
$779.94 / $3,323.00 / $6,945.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,581.00 / $4,581.00 / $4,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.62 / $605.96 / $779.94
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.34 / $683.13 / $5,220.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.82 / $715.20 / $1,607.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.95 / $1,089.83 / $1,393.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.24 / $567.79 / $1,653.41