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Missouri 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
$936.47 / $3,307.00 / $7,996.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.00 / $591.00 / $1,135.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.50 / $1,644.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,833.00 / $5,813.00