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Wisconsin rates for HCPCS 69705

Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $4,786.30 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $1,905.46 / $5,623.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $17,378.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $1,659.59 / $10,232.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $8,709.64 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $812.83 / $9,120.11
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $3,981.07 / $7,413.10
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $524.81 / $7,762.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $7,244.36 / $15,848.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $5,370.32 / $15,848.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $2,818.38 / $8,511.38
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $23,988.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $4,786.30 / $18,620.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $954.99 / $15,488.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $2,454.71 / $11,481.54