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Washington, DC 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
$1,199.21 / $2,986.00 / $4,975.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.90 / $1,107.05 / $2,107.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00