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Indiana rates for HCPCS 69915

Vestibular nerve section, translabyrinthine approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.10 / $3,500.00 / $17,225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.38 / $1,373.10 / $1,911.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,601.00 / $8,240.00 / $17,829.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.52 / $1,869.40 / $2,579.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.51 / $2,030.84 / $3,046.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.97 / $1,692.36 / $2,437.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,868.80 / $1,868.80 / $1,868.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.85 / $1,972.12 / $3,286.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.86 / $1,608.18 / $2,972.42