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New Hampshire rates for HCPCS 69805

Endolymphatic Sac W/O Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,805.06 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.84 / $1,208.48 / $3,805.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.79 / $1,807.84 / $2,642.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.32 / $2,172.41 / $3,115.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.23 / $2,269.92 / $3,769.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.35 / $1,905.14 / $4,071.06
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.79 / $891.87 / $1,135.10