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California rates for HCPCS 69666

Repair Oval Window Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,197.85 / $7,858.00 / $18,681.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,776.00 / $8,484.00 / $16,676.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $10,063.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,761.60 / $2,081.89 / $4,904.76
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.17 / $1,014.12 / $1,521.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.72 / $1,068.24 / $1,899.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,444.85 / $7,909.30 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.72 / $1,064.96 / $1,817.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,459.00 / $7,352.00 / $15,471.00