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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
$1,096.48 / $4,897.79 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $741.31 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$794.33 / $831.76 / $2,041.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,884.03 / $2,884.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $831.76 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,148.15 / $6,456.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,089.30 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $1,096.48