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Louisiana rates for HCPCS 69905

Labyrinthectomy Transcanal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.00 / $2,758.00 / $5,432.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.41 / $1,074.30 / $1,316.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.10 / $8,674.20 / $11,969.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.19 / $1,067.21 / $1,531.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.63 / $1,079.02 / $1,675.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.85 / $1,114.99 / $1,841.94