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Utah rates for HCPCS 67906

Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $6,025.60 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $524.81 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $707.95 / $912.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $371.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $6,456.54 / $14,791.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,071.52
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $912.01 / $1,288.25
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $758.58 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $831.76