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South Carolina rates for HCPCS 69905

Labyrinthectomy Transcanal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.53 / $9,062.00 / $17,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.73 / $1,013.53 / $1,450.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,792.31 / $9,602.04 / $16,952.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.06 / $1,293.00 / $2,273.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $3,711.96 / $4,769.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.04 / $1,228.77 / $2,364.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.59 / $1,159.86 / $1,989.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.98 / $3,284.20 / $3,851.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.67 / $734.36 / $1,316.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.97 / $1,219.59 / $2,409.40