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Utah rates for HCPCS 69905

Labyrinthectomy Transcanal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.60 / $4,387.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.60 / $1,054.60 / $1,648.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.09 / $1,341.36 / $2,613.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $597.70 / $865.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.23 / $1,587.34 / $2,286.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.66 / $1,208.78 / $1,873.44