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Rhode Island rates for HCPCS 69805

Endolymphatic Sac W/O Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,955.04 / $5,496.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.84 / $920.52 / $1,284.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.11 / $1,222.49 / $2,033.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $1,497.35 / $2,167.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,599.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.50 / $1,278.88 / $2,093.75