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Montana rates for HCPCS 69905

Labyrinthectomy; transcanal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.29 / $4,813.22 / $4,813.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.52 / $1,457.52 / $1,457.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.07 / $1,457.52 / $1,537.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.95 / $1,574.30 / $1,720.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.24 / $1,337.00 / $1,928.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.22 / $1,550.08 / $2,568.73