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Idaho rates for HCPCS 69667

Repair Round Window Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.95 / $1,403.92 / $1,597.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,040.66 / $7,582.86 / $9,755.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00