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Nebraska rates for HCPCS 69667

Repair round window fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $7,943.28 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,606.93 / $12,882.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,659.59 / $7,943.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,862.09 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $5,011.87 / $8,128.31