go back

Oklahoma rates for HCPCS 69805

Endolymphatic Sac W/O Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $5,511.00 / $16,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.22 / $998.10 / $998.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.83 / $1,354.67 / $1,620.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.10 / $1,647.19 / $10,198.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.16 / $1,305.75 / $8,569.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.87 / $1,181.29 / $1,630.57