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Tennessee 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
$853.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,858.50 / $4,858.50 / $4,858.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.35 / $601.80 / $855.28
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,910.32 / $1,910.32 / $2,112.64
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$645.21 / $645.21 / $645.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $2,867.00 / $4,235.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.82 / $674.10 / $1,396.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.02 / $665.04 / $1,087.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,274.32 / $3,362.52 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,569.00 / $7,569.00 / $7,569.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,626.00 / $6,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.16 / $656.47 / $1,162.85