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Rebuilding A Whole Eyelid With A Borrowed Flap

Washington, DC rates for HCPCS 67974

Reconstruction of an entire eyelid through its full thickness, using a flap of lining and supporting tissue borrowed from the opposite eyelid of the same eye. It is done after cancer removal or severe injury has left too little tissue for a simple repair. The flap keeps its own blood supply, so the eye is usually closed over for a period while it takes.

Rates data updated October 2026.

How much does Rebuilding A Whole Eyelid With A Borrowed Flap cost?

$1,023

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $1,023 for this service. Most negotiated rates run $851 to $2,138.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,660 to $26,915Professionalmedian $955 · 10th to 90th $813 to $2,570
$1K$2K$5K$10K$20Kfacility $4,074professional $955

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$3,388.44
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,148.15
Typical High
$1,148.15
CareFirst
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$954.99
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$870.96
Typical High
$2,454.71
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,862.09
Typical High
$2,137.96
United
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$7,943.28
Typical High
$27,542.29
United
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$870.96
Typical High
$2,570.40

Where Washington, DC sits

The same service costs 8.5 times more in Wyoming than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington, DC· 39th of 51

$1,023

WY $4,169UT $490

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.