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New York 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
$665.40 / $3,659.00 / $9,038.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.15 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.24 / $802.24 / $1,424.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $508.14 / $1,234.17
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $802.24 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $4,370.00 / $9,187.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.39 / $657.39 / $1,477.71