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Nebraska rates for HCPCS 69667

Repair round window fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,005.00 / $10,563.53 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.08 / $6,940.38 / $13,028.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.43 / $1,434.50 / $7,772.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,435.35 / $1,875.58 / $2,636.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00