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Iowa 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
$3,468.00 / $4,917.20 / $8,042.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.00 / $866.75 / $2,296.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.67 / $2,043.79 / $6,306.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.90 / $1,669.12 / $2,408.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,327.00 / $8,342.00