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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
$892.07 / $9,062.00 / $18,276.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,740.35 / $9,434.29 / $16,900.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $1,774.26 / $2,279.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.60 / $1,017.00 / $1,757.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00