go back

Texas rates for HCPCS 69801

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.87 / $3,553.00 / $10,893.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.75 / $209.72 / $334.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$474.95 / $474.95 / $474.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.81 / $210.81 / $210.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.76 / $200.83 / $1,073.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.19 / $196.96 / $341.71
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.26 / $1,424.58 / $3,279.11
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.38 / $252.87 / $305.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.57 / $105.57 / $105.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.68 / $205.68 / $205.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.04 / $254.48 / $755.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.54 / $26,542.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,690.00 / $6,427.75 / $6,427.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.75 / $274.05 / $1,000.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.69 / $241.24 / $394.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.80 / $932.80 / $932.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.20 / $281.54 / $1,024.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.69 / $263.64 / $745.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.00 / $2,064.00 / $4,509.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.76 / $240.17 / $962.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.17 / $210.81 / $296.85