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Delaware 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
$5,816.00 / $6,907.00 / $9,606.78
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,606.78 / $9,606.78 / $9,606.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.87 / $668.33 / $848.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.00 / $790.00 / $790.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.99 / $624.02 / $1,033.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.17 / $651.59 / $1,658.11