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Montana rates for HCPCS 69667

Repair round window fistula

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.21 / $1,288.21 / $1,288.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.19 / $1,381.25 / $1,511.68