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California rates for HCPCS 69667

Repair round window fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,197.85 / $7,830.00 / $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
$822.05 / $1,068.67 / $1,930.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,446.66 / $7,909.30 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.05 / $1,065.38 / $1,818.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,459.00 / $7,352.00 / $15,471.00