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Idaho rates for HCPCS 69905

Labyrinthectomy; transcanal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,805.00 / $6,899.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.13 / $1,367.92 / $1,648.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.97 / $1,580.31 / $1,764.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.55 / $1,593.77 / $1,820.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.25 / $1,502.72 / $1,779.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,267.79 / $1,594.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.88 / $1,417.88 / $1,502.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.05 / $1,276.04 / $1,886.31