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Kentucky 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
$497.01 / $860.00 / $2,495.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,428.00 / $8,517.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.56 / $610.40 / $697.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.24 / $802.24 / $1,117.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00