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Connecticut rates for HCPCS 69805

Endolymphatic Sac W/O Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,090.00 / $8,031.00 / $15,171.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.81 / $1,671.88 / $2,683.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,920.00 / $11,936.00 / $15,915.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.55 / $2,206.73 / $2,618.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.90 / $1,719.18 / $2,758.73
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.71 / $1,711.10 / $1,711.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,944.00 / $10,417.00 / $16,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.16 / $1,563.31 / $2,910.73