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Minnesota rates for HCPCS 67904

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

Facilitymedian $4,467 · 10th–90th $794$12,0230%5%10th90th$4,467Professionalmedian $1,479 · 10th–90th $661$3,0900%5%10th90th$1,479$50.0$200.0$1.0K$5.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $794.33 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $724.44 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$794.33 / $977.24 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $5,495.41 / $13,182.57
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,495.41 / $8,709.64 / $25,118.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,479.11 / $2,511.89
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$1,412.54 / $2,187.76 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,754.23 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,905.46 / $3,162.28
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,630.27 / $5,128.61
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,819.70 / $2,951.21
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $1,174.90 / $2,754.23
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,570.40 / $6,606.93 / $7,413.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,318.26 / $3,162.28
Medica
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$1,621.81 / $2,754.23 / $2,818.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $5,248.07 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,258.93 / $2,454.71