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Colorado 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
$972.17 / $5,503.00 / $10,651.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,200.00 / $4,200.00 / $8,652.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.87 / $644.54 / $1,195.54
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$787.82 / $907.31 / $1,015.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.07 / $804.49 / $1,167.56
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$860.11 / $959.40 / $1,042.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.28 / $844.26 / $1,244.38
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.79 / $884.47 / $1,253.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.10 / $926.59 / $1,227.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,852.00 / $6,090.00 / $14,057.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.51 / $962.32 / $1,527.15