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Mississippi 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
$741.74 / $1,375.25 / $1,836.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,314.60 / $4,314.60 / $4,314.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.08 / $699.93 / $1,712.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.02 / $1,088.02 / $1,088.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,632.00 / $1,632.00 / $1,632.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.42 / $1,173.42 / $2,668.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.99 / $856.11 / $1,443.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $2,062.00 / $6,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.00 / $830.49 / $1,552.01