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Oklahoma 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
$988.30 / $3,684.00 / $12,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,719.49 / $2,739.02 / $4,373.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.25 / $1,070.25 / $1,070.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.34 / $1,169.08 / $5,834.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,875.93 / $5,543.93