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South Carolina rates for HCPCS 69805

Endolymphatic Sac W/O Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.29 / $9,062.00 / $17,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.86 / $1,136.29 / $1,621.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,792.31 / $9,602.04 / $16,952.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.33 / $1,241.00 / $2,182.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $3,711.96 / $4,769.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.41 / $1,418.18 / $2,651.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.73 / $1,304.00 / $2,274.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.98 / $3,284.20 / $3,851.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.66 / $827.74 / $1,489.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.90 / $1,265.04 / $2,465.91