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North Dakota rates for HCPCS 69801

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.91 / $213.14 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.91 / $213.14 / $350.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.58 / $333.57 / $567.04
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$369.87 / $478.67 / $825.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.86 / $378.92 / $705.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.91 / $213.14 / $639.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.59 / $389.32 / $556.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.34 / $391.01 / $556.40