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Alaska rates for HCPCS 69905

Labyrinthectomy; transcanal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,635.08 / $13,413.92 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,411.17 / $4,411.17 / $5,511.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,949.65 / $2,949.65 / $2,949.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.76 / $4,411.17 / $6,307.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,224.63 / $5,777.10 / $7,211.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,438.75 / $3,988.95 / $5,695.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.76 / $4,411.17 / $6,307.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.84 / $3,903.00 / $5,811.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,345.23 / $2,359.71 / $3,559.89