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Indiana rates for HCPCS 67975

Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $4,897.79 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $741.31 / $1,288.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $8,317.64 / $10,471.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $724.44 / $1,122.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $776.25 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $724.44 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $5,623.41 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,230.27