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Kentucky rates for HCPCS 69667

Repair Round Window Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.63 / $824.89 / $9,311.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $3,967.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.98 / $1,019.77 / $1,176.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.21 / $913.40 / $913.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00