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South Carolina rates for HCPCS 69667

Repair round window fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $10,471.29 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $9,332.54 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,778.28 / $2,290.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,071.52 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $11,220.18 / $16,982.44