go back

South Carolina rates for HCPCS 69915

Vestibular nerve section, translabyrinthine approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $12,022.64 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,548.82 / $3,090.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $9,332.54 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,819.70 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,778.28 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,949.84 / $3,090.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,089.30 / $3,467.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $16,982.44 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,819.70 / $3,019.95