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Alaska rates for HCPCS 69801

Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.32 / $2,236.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.91 / $325.72 / $1,063.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.54 / $417.54 / $669.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.46 / $858.28 / $1,488.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.25 / $787.50 / $1,466.47
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.55 / $798.34 / $1,164.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.46 / $858.28 / $1,488.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.89 / $669.72 / $1,164.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.40 / $535.78 / $945.53