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Repair of a Leak at the Round Window of the Ear

Rhode Island rates for HCPCS 69667

Seals a leak at the round window, one of the two membrane-covered openings between the middle ear and the inner ear. When that membrane tears, inner-ear fluid escapes and causes sudden hearing loss, ringing, and dizziness. The middle ear is opened and a small patch of the person's own tissue is laid over the opening to seal it.

Rates data updated July 2026.

How much rates vary

Facilitymedian $3,802 · 10th to 90th $2,754 to $7,413
$2.0K$5.0K$10.0Kfacility $3,802

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,715.35
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$7,585.78