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Wisconsin rates for HCPCS 69666

Repair Oval Window Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.81 / $2,945.51 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $10,038.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,139.26 / $2,499.89 / $4,032.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.81 / $1,087.00 / $2,041.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.99 / $4,103.00 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.81 / $1,119.63 / $2,041.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,574.30 / $2,430.96 / $2,863.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,909.30 / $7,909.30 / $7,909.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00