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Washington, DC rates for HCPCS 69805

Endolymphatic Sac W/O Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.72 / $7,278.00 / $9,719.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.72 / $1,124.72 / $1,124.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.10 / $1,226.36 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.71 / $1,402.66 / $2,692.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.52 / $2,362.44 / $2,362.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.17 / $1,401.67 / $2,754.45