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Pennsylvania 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
$1,096.48 / $4,570.88 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $1,412.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,165.95 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $691.83 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $1,230.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $977.24
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $676.08 / $1,230.27
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,890.45 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $812.83 / $1,862.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $1,202.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $602.56 / $691.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $575.44 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,548.13 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $741.31 / $1,288.25