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Wyoming 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
$428.62 / $478.40 / $532.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.00 / $2,265.00 / $2,863.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,101.50 / $3,397.50 / $4,294.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.16 / $782.82 / $1,144.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.60 / $1,184.08 / $1,983.80