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Georgia rates for HCPCS 69667

Repair round window fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $5,370.32 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,691.53 / $4,786.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,168.69 / $6,918.31