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North Carolina 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
$466.49 / $1,113.89 / $7,968.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.49 / $936.98 / $1,296.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.40 / $3,302.40 / $26,542.00