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West Virginia rates for HCPCS 69667

Repair Round Window Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.16 / $785.16 / $2,300.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.85 / $918.88 / $1,001.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.40 / $913.40 / $913.40