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Indiana 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
$447.69 / $1,030.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.69 / $536.16 / $669.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $6,653.00 / $11,752.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.05 / $598.95 / $806.90
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$672.07 / $898.42 / $1,210.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.25 / $582.69 / $1,011.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.62 / $651.14 / $976.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.00 / $794.66 / $1,375.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.22 / $656.41 / $1,010.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.00 / $5,995.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.14 / $674.87 / $1,165.69