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Texas rates for HCPCS 69667

Repair round window fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $3,620.00 / $12,040.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,226.40 / $4,138.47 / $7,726.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.93 / $704.93 / $704.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,001.65 / $2,001.65 / $2,001.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,909.30 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.91 / $1,036.57 / $2,008.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.91 / $1,049.10 / $2,097.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,314.00 / $7,600.00