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Arizona rates for HCPCS 69905

Labyrinthectomy Transcanal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $9,112.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.22 / $845.40 / $4,813.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $4,903.56 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.84 / $799.79 / $999.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,374.52 / $5,374.52 / $5,374.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.01 / $1,068.60 / $1,969.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.63 / $1,218.46 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.62 / $1,029.99 / $7,141.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.62 / $988.75 / $1,821.40