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North Dakota 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
$483.32 / $603.86 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.62 / $508.75 / $767.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.61 / $1,176.31 / $1,383.89
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,383.89 / $1,726.47 / $2,075.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.63 / $1,008.19 / $1,575.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.32 / $821.64 / $1,301.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.52 / $1,069.06 / $1,579.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.00 / $2,545.00 / $2,545.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.16 / $945.82 / $1,303.31