go back

New Mexico 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
$504.58 / $2,040.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.62 / $532.70 / $1,004.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,835.94 / $6,357.37 / $9,865.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.27 / $703.33 / $1,340.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,800.00 / $3,800.00 / $3,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.02 / $736.01 / $1,029.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $504.15 / $1,134.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.80 / $695.50 / $1,575.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.73 / $725.76 / $1,029.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $5,971.00 / $8,422.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.75 / $832.99 / $1,455.17