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Massachusetts 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
$602.56 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$316.23 / $3,090.30 / $3,388.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,981.07 / $11,220.18
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $794.33 / $1,905.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $1,288.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $977.24 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,288.25 / $1,995.26 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $954.99 / $1,819.70
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $891.25 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $1,202.26
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,981.07 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $794.33 / $1,621.81
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,570.88
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $676.08 / $1,122.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,981.07 / $11,220.18
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $794.33 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,981.07 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $831.76 / $1,621.81