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Vermont rates for HCPCS 67903

Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $645.65 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$3,162.28 / $3,235.94 / $3,388.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,096.48 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $812.83 / $1,047.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $1,995.26