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Kansas 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
$2,070.00 / $4,919.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.37 / $753.29 / $1,331.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.20 / $1,123.20 / $1,152.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.53 / $1,193.57 / $1,193.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.04 / $898.40 / $1,204.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.29 / $1,342.00 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.20 / $822.25 / $5,060.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,418.00 / $3,096.00 / $5,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.44 / $822.25 / $1,057.25