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Arkansas rates for HCPCS 67912

Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.65 / $1,230.00 / $3,109.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,150.23 / $2,150.23 / $2,580.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.32 / $1,832.32 / $1,832.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,511.00 / $4,064.00