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Tennessee rates for HCPCS 69801

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.42 / $2,794.39 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.11 / $228.10 / $762.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$474.95 / $474.95 / $474.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.00 / $2,302.00 / $3,911.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.73 / $212.02 / $433.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.10 / $240.87 / $673.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.54 / $1,545.37 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,690.00 / $6,427.75 / $6,427.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $2,297.00 / $4,326.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.09 / $309.36 / $732.16