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Alabama rates for HCPCS 67904

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,513.56 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $851.14 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$794.33 / $794.33 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,691.53 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,258.93 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $645.65 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,951.21 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $645.65 / $870.96