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Missouri rates for HCPCS 69801

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.52 / $4,261.00 / $8,710.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.90 / $202.35 / $1,560.39
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,340.58 / $2,340.58 / $2,340.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.74 / $228.16 / $1,017.36
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$205.11 / $342.24 / $1,526.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.46 / $270.00 / $968.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.40 / $300.02 / $3,041.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.34 / $481.84 / $6,427.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,169.00 / $2,306.00 / $3,041.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.79 / $322.56 / $672.97