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Pennsylvania rates for HCPCS 67974

Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.83 / $3,745.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.00 / $549.00 / $549.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,198.12 / $5,198.12 / $5,198.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.00 / $549.00 / $549.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.68 / $884.68 / $1,154.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.00 / $3,475.00 / $6,368.00