go back

Droopy Eyelid Repair Surgery (Ptosis)

Kansas rates for HCPCS 67904

Surgical correction of a drooping upper eyelid by tightening or repositioning the muscle that lifts the eyelid, performed through an incision on the outside of the eyelid. It's used to raise the eyelid to a more normal position and can help improve vision if the droop is blocking sight.

Facilitymedian $4,074 · 10th–90th $1,096$10,0000%5%10th90th$4,074Professionalmedian $813 · 10th–90th $575$1,2590%10%10th90th$813$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
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$4,897.79
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$794.33
Median
$977.24
Typical High
$2,041.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,884.03
Typical High
$2,884.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$1,258.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,148.15
Typical High
$6,456.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$831.76
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,041.74
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$758.58
Typical High
$1,096.48