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Iowa 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
$4,146.00 / $4,911.00 / $9,185.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.84 / $757.94 / $2,095.28
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,141.71 / $1,181.43 / $3,736.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.41 / $1,302.03 / $1,733.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.88 / $720.42 / $1,694.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.70 / $1,437.30 / $6,306.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.10 / $1,171.74 / $2,106.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.02 / $1,427.85 / $1,908.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.38 / $1,244.90 / $1,609.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,327.00 / $8,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.17 / $910.80 / $1,707.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.04 / $1,059.90 / $1,326.90