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Kentucky rates for HCPCS 69667

Repair round window fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,818.38 / $9,772.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,073.80 / $9,549.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,754.23 / $6,309.57