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Maine rates for HCPCS 67908

Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $588.84 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $616.60 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$562.34 / $912.01 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $851.14 / $1,071.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $676.08 / $1,047.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $645.65 / $1,122.02
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,862.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $645.65 / $891.25