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Hawaii rates for HCPCS 69915

Vestibular nerve section, translabyrinthine approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,583.13 / $3,107.00 / $8,431.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.50 / $1,442.19 / $1,442.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.20 / $1,876.59 / $1,876.59
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.28 / $2,254.12 / $2,659.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,651.40 / $1,801.52 / $2,101.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.30 / $1,876.59 / $2,423.84
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,838.79 / $5,316.74 / $11,157.30