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Division of Eyelid Reconstruction Flap

Pennsylvania rates for HCPCS 67975

This is a follow-up surgery performed weeks after a major eyelid reconstruction, in which tissue that was temporarily borrowed from the opposite eyelid to rebuild a large missing section is now separated to complete the repair. During the original surgery, the two eyelids are partly joined together so the borrowed tissue can develop its own blood supply in its new location; this procedure divides that connection. It restores separate opening and closing function to both eyelids.

Rates data updated July 2026.

How much does Division of Eyelid Reconstruction Flap cost?

$5,295

Typical total for the visit. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,295 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $4,571 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 10 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$724$661 to $851
Facility feeThe hospital or surgery center$4,571$2,630 to $6,166

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1,023 to $8,318Professionalmedian $724 · 10th to 90th $603 to $1,660
$1K$2K$5K$10Kfacility $4,571professional $724

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
$1,023.29
Median
$4,570.88
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$724.44
Typical High
$1,659.59
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,165.95
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$691.83
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$1,288.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$977.24
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$691.83
Typical High
$1,230.27
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,981.07
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$2,187.76
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$758.58
Typical High
$891.25
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,949.84
Typical High
$3,388.44
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$645.65
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,630.78
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$1,318.26

Where Pennsylvania sits

The same service costs 6.8 times more in Wyoming than in West Virginia. 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.

Physician feeFacility fee

Pennsylvania· 19th of 50

$5,295

$724 physician + $4,571 facility

WY $9,492WV $1,401

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.