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Indiana 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
$452.43 / $1,123.00 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.00 / $5,948.00 / $9,462.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.52 / $585.74 / $1,050.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.73 / $646.00 / $1,375.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.00 / $5,995.00 / $10,413.00