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Maryland rates for HCPCS 69805

Endolymphatic Sac W/O Shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.44 / $1,124.72 / $5,424.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.10 / $1,125.10 / $1,660.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,076.35 / $3,076.35 / $3,076.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.16 / $1,374.53 / $2,653.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.79 / $1,417.50 / $2,338.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.44 / $1,185.99 / $2,221.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.32 / $1,225.66 / $1,515.95