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Oklahoma rates for HCPCS 69801

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $4,714.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.81 / $215.76 / $217.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,585.95 / $10,389.41 / $16,531.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.94 / $262.18 / $287.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.08 / $234.25 / $794.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.75 / $294.27 / $3,790.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.16 / $712.80 / $6,427.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $1,928.00 / $3,790.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $262.01 / $819.72