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Kansas 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
$1,105.59 / $5,467.00 / $12,237.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.98 / $805.72 / $1,195.54
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$825.24 / $825.24 / $1,560.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.53 / $707.53 / $707.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.00 / $1,202.00 / $1,202.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.53 / $977.53 / $1,181.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.77 / $911.60 / $1,264.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.65 / $1,135.17 / $6,496.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.97 / $876.93 / $7,208.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,418.00 / $2,902.00 / $5,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.36 / $883.63 / $1,246.80