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Rebuilding A Whole Eyelid With A Borrowed Flap

New York 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 July 2026.

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

$4,898

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $4,898 for this service. Most negotiated rates run $3,090 to $7,762.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,318 to $11,220
$500.0$2.0K$10.0K$50.0Kfacility $4,898

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$4,570.88
Typical High
$10,000.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,995.26
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$2,290.87
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$2,951.21
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,786.30
Typical High
$10,964.78
Univera
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,258.93
Typical High
$2,951.21

Where New York sits

The same service costs 12.6 times more in Indiana than in Maine. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $4,898 · 15th of 50
IN $10,233ME $813

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.