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New Mexico 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
$776.25 / $1,122.02 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $812.83 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$741.31 / $831.76 / $4,466.84
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$794.33 / $794.33 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $6,456.54 / $10,232.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $870.96 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $870.96 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $123.03 / $1,023.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $851.14 / $1,445.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $831.76 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $6,025.60 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $870.96 / $1,202.26