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Alaska rates for HCPCS 69915

Vestibular nerve section, translabyrinthine approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,399.71 / $13,413.92 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,365.17 / $7,365.17 / $9,477.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,018.60 / $5,018.60 / $5,018.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,831.11 / $7,365.17 / $10,532.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,641.40 / $9,456.29 / $12,076.61
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,628.75 / $6,529.35 / $9,576.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,831.11 / $7,365.17 / $10,532.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,071.48 / $6,486.00 / $9,725.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,881.82 / $4,033.02 / $6,056.87