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Washington, DC rates for HCPCS 67904

Rpr Blepharoptosis Levator Rescj/Advmnt Xtrnl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.67 / $3,054.00 / $6,945.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,817.00 / $2,817.00 / $2,817.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.99 / $752.18 / $957.67
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$252.40 / $252.40 / $1,438.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.28 / $844.34 / $5,220.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.41 / $832.48 / $1,972.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.24 / $1,352.88 / $1,710.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.73 / $698.92 / $2,096.76