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Idaho rates for HCPCS 69801

Labyrinthotomy Transcanal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.44 / $220.95 / $406.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.53 / $234.43 / $376.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.44 / $303.95 / $1,294.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.15 / $245.63 / $438.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $351.87 / $392.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,749.17 / $3,749.50 / $4,629.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.79 / $202.24 / $371.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.34 / $312.23 / $709.06