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West Virginia 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
$478.44 / $599.92 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.61 / $532.70 / $835.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.58 / $539.53 / $587.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.52 / $565.82 / $719.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.66 / $794.66 / $794.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.21 / $696.54 / $2,227.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.37 / $644.20 / $1,024.83