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New Hampshire rates for HCPCS 69905

Labyrinthectomy Transcanal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,316.34 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.69 / $1,057.13 / $3,316.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.30 / $1,609.49 / $2,352.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.34 / $1,955.14 / $2,796.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.70 / $2,020.90 / $3,355.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.69 / $1,724.80 / $3,624.43
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.61 / $791.57 / $1,007.45