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Alabama rates for HCPCS 67904

Rpr Blepharoptosis Levator Rescj/Advmnt Xtrnl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,520.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.30 / $757.13 / $1,415.92
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$798.43 / $843.12 / $982.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,204.00 / $2,674.66 / $3,598.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.56 / $1,248.52 / $1,506.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.51 / $640.29 / $2,272.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.00 / $2,891.00 / $4,402.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.54 / $698.98 / $928.64