go back

Wyoming rates for HCPCS 69801

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.34 / $192.34 / $296.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.00 / $403.00 / $742.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$303.00 / $604.50 / $1,113.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.35 / $293.52 / $944.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.10 / $655.02 / $2,553.17