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Virginia rates for HCPCS 69667

Repair round window fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.02 / $5,360.00 / $9,975.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.39 / $919.67 / $1,134.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.90 / $1,081.56 / $1,556.01
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.54 / $1,065.35 / $3,826.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00