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Montana rates for HCPCS 69801

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.34 / $260.33 / $646.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.12 / $196.12 / $196.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.12 / $326.50 / $361.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.09 / $373.81 / $1,276.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.93 / $239.39 / $368.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.64 / $383.44 / $1,256.95