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Arizona rates for HCPCS 69801

Labyrinthotomy Transcanal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.57 / $235.32 / $947.19
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$474.95 / $474.95 / $1,278.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,532.98 / $5,814.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.87 / $148.04 / $222.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.98 / $263.98 / $263.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.40 / $255.79 / $734.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.75 / $237.10 / $2,086.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.68 / $441.25 / $6,427.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,578.00 / $2,567.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.42 / $285.69 / $766.26