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Maine rates for HCPCS 69801

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.79 / $206.58 / $350.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.47 / $228.68 / $344.42
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$209.22 / $343.02 / $516.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.51 / $285.86 / $505.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.58 / $255.46 / $434.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.79 / $206.58 / $370.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.98 / $301.01 / $463.18