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Utah rates for HCPCS 69801

Labyrinthotomy Transcanal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.05 / $3,294.00 / $8,194.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.84 / $263.51 / $406.25
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$542.70 / $542.70 / $542.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.35 / $287.64 / $897.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.05 / $171.23 / $222.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,237.82 / $2,891.57 / $4,213.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.35 / $298.94 / $356.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.65 / $224.28 / $448.88