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Maine rates for HCPCS 69905

Labyrinthectomy; transcanal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.44 / $884.44 / $1,710.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.30 / $1,219.57 / $1,762.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.45 / $1,308.27 / $2,028.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.70 / $1,311.99 / $2,012.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.44 / $884.44 / $1,710.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.05 / $1,316.04 / $1,856.13