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New York rates for HCPCS 69667

Repair round window fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.61 / $4,392.00 / $10,296.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,120.00 / $8,836.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.02 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.40 / $913.40 / $6,511.02
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,372.65 / $2,274.48
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $913.40 / $6,511.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,202.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.82 / $866.82 / $2,626.94