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Oregon rates for HCPCS 67904

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

Facilitymedian $1,445 · 10th–90th $851$9,1200%20%10th90th$1,445Professionalmedian $891 · 10th–90th $562$1,8620%10%10th90th$891$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$1,174.90 / $1,659.59 / $13,803.84
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,897.79 / $8,128.31 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $794.33 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$741.31 / $831.76 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,122.02 / $1,949.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,230.27 / $1,778.28
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,071.52 / $1,698.24
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,897.79 / $8,128.31 / $10,715.19
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,202.26 / $1,862.09
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$741.31 / $831.76 / $2,238.72
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,412.54 / $1,479.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,071.52 / $1,698.24
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $1,202.26 / $1,737.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $7,413.10 / $9,120.11
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$8,128.31 / $10,964.78 / $13,803.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,479.11 / $1,995.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $9,120.11 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,202.26 / $1,862.09