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Pennsylvania rates for HCPCS 69805

Endolymphatic sac operation; without shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.85 / $5,254.00 / $11,022.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.32 / $1,007.12 / $1,315.70
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.66 / $1,460.80 / $1,969.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.16 / $1,331.63 / $2,079.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.69 / $1,603.35 / $1,610.07
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,201.27 / $14,201.27 / $14,201.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,742.00 / $12,474.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.32 / $1,078.41 / $5,424.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,229.40 / $2,651.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.18 / $1,334.43 / $2,199.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,010.67 / $1,010.67 / $1,074.08
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.65 / $1,011.64 / $1,074.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.89 / $1,297.54 / $2,156.01