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Rebuilding A Whole Eyelid With A Borrowed Flap

Virginia 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?

$4,365

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $4,365 for this service. Most negotiated rates run $1,230 to $7,244.

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 $4,365 · 10th to 90th $933 to $10,000Professionalmedian $1,023 · 10th to 90th $759 to $1,175
$1K$2K$5K$10Kfacility $4,365professional $1,023

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. 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
Global
Typical Low
$1,148.15
Median
$5,011.87
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$851.14
Typical High
$1,071.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,819.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$1,862.09
Sentara
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,202.26
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$8,709.64
Typical High
$17,782.79

Where Virginia sits

The same service costs 12.6 times more in Indiana than in Maine. 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.

Virginia· 17th of 50

$4,365

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.