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Vermont rates for HCPCS 67904

Rpr Blepharoptosis Levator Rescj/Advmnt Xtrnl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.88 / $681.65 / $1,195.54
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$733.32 / $835.47 / $4,506.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.85 / $1,142.06 / $2,690.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.92 / $1,006.94 / $1,291.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.92 / $996.54 / $1,291.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.10 / $1,048.67 / $3,048.56