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Montana rates for HCPCS 69805

Endolymphatic sac operation; without shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.06 / $5,424.22 / $5,424.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,629.98 / $1,629.98 / $1,629.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.44 / $1,629.98 / $1,767.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.39 / $1,821.95 / $1,975.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.85 / $1,487.93 / $2,146.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.53 / $1,771.81 / $2,864.73