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Ohio rates for HCPCS 69805

Endolymphatic sac operation; without shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,416.65 / $8,055.00 / $12,117.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.69 / $952.69 / $2,756.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.00 / $4,437.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.37 / $1,219.22 / $2,035.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.30 / $1,153.56 / $1,532.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.43 / $1,093.15 / $1,874.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.97 / $1,345.83 / $2,057.19
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.30 / $1,398.46 / $2,027.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.92 / $860.93 / $1,378.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,578.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.65 / $1,278.88 / $2,142.17