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Maine rates for HCPCS 69805

Endolymphatic Sac W/O Shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.61 / $1,000.61 / $1,208.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.79 / $1,364.62 / $1,971.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.99 / $1,468.19 / $2,249.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.23 / $1,473.67 / $2,260.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.61 / $1,000.61 / $1,208.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.92 / $1,499.57 / $2,066.40