go back

Michigan rates for HCPCS 69915

Vestibular nerve section, translabyrinthine approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,777.86 / $4,933.00 / $6,853.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.24 / $1,777.86 / $1,926.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,646.85 / $5,424.27 / $7,389.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.21 / $2,242.41 / $3,741.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.08 / $1,793.94 / $3,093.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,589.57 / $4,933.00 / $6,853.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.57 / $1,682.34 / $2,284.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.57 / $1,149.21 / $1,800.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,847.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.39 / $1,879.50 / $2,538.14