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Alaska rates for HCPCS 69805

Endolymphatic sac operation; without shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,993.68 / $13,413.92 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.43 / $5,011.43 / $6,439.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,403.64 / $3,403.64 / $3,403.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,246.14 / $5,011.43 / $7,166.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,498.78 / $6,489.00 / $8,220.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,862.50 / $4,480.50 / $6,556.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,246.14 / $5,011.43 / $7,166.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.45 / $4,429.50 / $6,649.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,660.93 / $2,740.40 / $4,107.81