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Montana rates for HCPCS 69910

Labyrinthectomy; with mastoidectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.78 / $5,233.38 / $5,233.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,569.51 / $1,569.51 / $1,569.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.04 / $1,569.51 / $1,705.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.42 / $1,764.75 / $1,911.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.56 / $1,436.49 / $2,072.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.65 / $1,679.73 / $2,762.04