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Rebuilding A Whole Eyelid With A Borrowed Flap

Pennsylvania 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?

$4,266

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4,266 for this service. Most negotiated rates run $2,455 to $6,607.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,000 to $8,318
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $4,266

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
$977.24
Median
$4,786.30
Typical High
$8,317.64
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,165.95
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,890.45
Typical High
$8,317.64
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,949.84
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$4,466.84
Typical High
$11,481.54

Where Pennsylvania 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.

Pennsylvania $4,266 · 19th 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.