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Kentucky 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
$489.93 / $787.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.62 / $536.16 / $757.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $3,889.00 / $8,766.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.84 / $461.49 / $740.60
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$571.26 / $692.23 / $1,110.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.14 / $604.63 / $691.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.88 / $608.95 / $971.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.72 / $794.66 / $1,117.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.73 / $646.94 / $2,227.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $413.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.91 / $672.20 / $1,055.04