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New Hampshire 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
$100.00 / $2,044.58 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.23 / $498.70 / $1,159.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.23 / $709.36 / $1,028.57
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$693.34 / $1,064.04 / $1,542.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.04 / $938.36 / $1,419.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.69 / $1,040.94 / $2,030.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.43 / $911.09 / $1,764.17
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.59 / $474.39 / $569.27