go back

West Virginia 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
$485.45 / $896.18 / $1,700.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.31 / $547.05 / $596.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.24 / $802.24 / $802.24