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Missouri rates for HCPCS 69915

Vestibular nerve section, translabyrinthine approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,777.46 / $5,560.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,329.09 / $1,347.16 / $1,621.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,504.00 / $1,855.11 / $2,890.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.58 / $2,208.69 / $3,793.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.89 / $2,604.67 / $20,912.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,550.66 / $2,457.07 / $12,853.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,517.47 / $2,031.72 / $3,260.71