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Indiana rates for HCPCS 69805

Endolymphatic sac operation; without shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.62 / $2,492.17 / $17,225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.78 / $940.62 / $1,309.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,427.00 / $11,294.00 / $22,813.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.32 / $1,265.40 / $1,746.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.59 / $1,392.83 / $2,089.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.98 / $1,207.11 / $1,671.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,909.74 / $3,909.74 / $3,909.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.26 / $1,334.22 / $2,226.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.09 / $1,140.33 / $1,990.23