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Massachusetts rates for HCPCS 69805

Endolymphatic Sac W/O Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,618.00 / $3,111.85 / $8,271.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.84 / $982.19 / $2,441.37
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.00 / $5,679.24 / $16,742.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.66 / $2,016.90 / $8,569.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,981.82 / $1,981.82 / $1,981.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.02 / $2,157.71 / $3,929.21
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.28 / $1,909.00 / $7,315.92
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.92 / $1,480.86 / $2,647.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.66 / $2,524.23 / $3,364.12
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,280.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.48 / $2,263.50 / $8,569.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.43 / $1,564.27 / $3,562.77