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Kentucky 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
$607.14 / $906.56 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.99 / $701.25 / $988.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.64 / $1,122.64 / $1,122.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $3,889.00 / $8,766.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.50 / $530.15 / $963.66
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$656.25 / $795.22 / $1,445.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.29 / $748.43 / $855.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.44 / $752.78 / $1,202.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.29 / $983.65 / $1,117.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.91 / $771.66 / $2,759.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $397.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.99 / $777.64 / $1,298.40