go back

New Jersey rates for HCPCS 67904

Rpr Blepharoptosis Levator Rescj/Advmnt Xtrnl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.45 / $4,679.00 / $10,202.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,492.75 / $2,697.25 / $10,882.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.29 / $703.40 / $970.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.71 / $804.34 / $1,915.52
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.97 / $873.19 / $2,054.08
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.33 / $5,671.88 / $12,299.42
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.68 / $780.09 / $1,104.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,885.00 / $7,250.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.26 / $808.89 / $1,445.00