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Missouri rates for HCPCS 69905

Labyrinthectomy; transcanal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,560.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.10 / $820.04 / $993.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.00 / $1,086.66 / $1,692.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.72 / $1,339.79 / $2,255.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.50 / $1,702.48 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.26 / $1,468.74 / $7,141.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $9,817.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.81 / $1,224.64 / $2,278.00