go back

Tennessee 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
$864.12 / $2,678.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $2,859.00 / $3,728.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.40 / $3,399.78 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,626.00 / $6,291.00