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Idaho rates for HCPCS 67904

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

Facilitymedian $3,388 · 10th–90th $1,318$7,9430%5%10%10th90th$3,388Professionalmedian $912 · 10th–90th $575$1,5850%10%10th90th$912$50.0$200.0$1.0K$5.0K

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
$1,513.56 / $3,388.44 / $5,495.41
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,630.78 / $5,888.44 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $891.25 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$794.33 / $977.24 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,818.38 / $6,025.60
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,041.74 / $4,265.80 / $9,120.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,174.90 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$1,479.11 / $1,819.70 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $870.96 / $1,230.27
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,230.27 / $2,290.87
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $5,888.44
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,023.29 / $1,513.56
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$794.33 / $831.76 / $1,071.52
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,248.07 / $7,413.10
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$6,025.60 / $8,317.64 / $10,964.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,230.27 / $1,548.82
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,071.52 / $2,089.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $12,302.69 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $870.96 / $1,348.96