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Rebuilding A Whole Eyelid With A Borrowed Flap

North Carolina 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.

Facilitymedian $1,905 · 10th–90th $912$9,7720%10%10th90th$1,905$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$3,467.37
Typical High
$8,709.64
Medcost
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$9,332.54
Typical High
$14,791.08
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$45,708.82