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Massachusetts rates for HCPCS 67904

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

Facilitymedian $2,818 · 10th–90th $708$5,3700%10%10th90th$2,818Professionalmedian $912 · 10th–90th $603$2,0420%10%10th90th$912$100.0$500.0$2.0K$10.0K$50.0K

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
$741.31 / $3,388.44 / $5,370.32
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $851.14 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$851.14 / $2,041.74 / $4,265.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $3,981.07 / $11,220.18
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $912.01 / $2,290.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,202.26 / $1,621.81
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$1,288.25 / $1,995.26 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $1,148.15 / $2,089.30
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $758.58 / $4,897.79
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,000.00 / $1,288.25
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $954.99 / $1,949.84
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,677.35 / $6,456.54
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,479.11 / $2,884.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $3,981.07 / $11,220.18
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $912.01 / $2,290.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,890.45 / $8,709.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $977.24 / $2,089.30