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New Jersey 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
$808.38 / $5,845.00 / $10,692.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,132.43 / $5,671.88 / $11,519.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,885.00 / $7,250.00 / $10,536.00