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Massachusetts rates for HCPCS 69801

Labyrinthotomy Transcanal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.01 / $2,747.00 / $6,075.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.62 / $225.45 / $900.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$474.95 / $474.95 / $474.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.26 / $2,411.51 / $10,821.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.04 / $467.70 / $6,427.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.81 / $188.25 / $352.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.37 / $237.47 / $448.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.51 / $375.89 / $781.12
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.75 / $300.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.79 / $329.54 / $589.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.44 / $339.12 / $616.54
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,856.16 / $1,856.16 / $2,175.17
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.12 / $384.12 / $419.64
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.54 / $3,649.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.58 / $841.57 / $6,427.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.45 / $498.68 / $942.76