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Washington, DC rates for HCPCS 67904

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

Facilitymedian $2,512 · 10th–90th $955$6,9180%10%10th90th$2,512Professionalmedian $912 · 10th–90th $575$1,7380%10%10th90th$912$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $3,388.44 / $6,918.31
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $831.76 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$251.19 / $1,584.89 / $3,311.31
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $741.31 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $794.33 / $1,949.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,348.96 / $1,698.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $10,000.00 / $25,118.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $758.58 / $2,041.74