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Virginia rates for HCPCS 69666

Repair Oval Window Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.62 / $5,360.00 / $9,975.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.06 / $919.27 / $1,133.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.55 / $1,081.10 / $1,554.49
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.86 / $1,063.52 / $3,829.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00