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South Carolina rates for HCPCS 69905

Labyrinthectomy; transcanal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $12,022.64 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $933.25 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $9,332.54 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,071.52 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,715.35 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,174.90 / $1,862.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,230.27 / $2,089.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $17,378.01 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,071.52 / $1,819.70