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Montana rates for HCPCS 69915

Vestibular nerve section, translabyrinthine approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.97 / $7,915.91 / $7,915.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,375.04 / $2,375.04 / $2,375.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.17 / $2,375.04 / $2,581.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,163.38 / $2,613.65 / $2,888.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.66 / $2,171.71 / $3,132.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,050.71 / $2,551.15 / $4,179.13