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California 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
$899.58 / $6,342.00 / $17,013.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,275.00 / $8,441.00 / $16,676.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,238.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.64 / $1,458.73 / $1,988.34
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.04 / $970.17 / $1,503.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.27 / $905.69 / $1,696.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.40 / $3,399.78 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.70 / $911.69 / $1,529.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,190.00 / $7,352.00 / $14,743.00