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Arkansas 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
$680.49 / $1,301.00 / $9,034.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,856.00 / $7,856.00 / $9,176.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.20 / $644.54 / $833.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.15 / $422.15 / $844.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,150.23 / $2,150.23 / $2,580.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.48 / $834.46 / $1,036.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.32 / $1,832.32 / $1,832.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.60 / $892.98 / $1,260.60
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.47 / $485.47 / $970.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $1,511.00 / $4,064.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.64 / $792.74 / $1,358.98