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Tennessee rates for HCPCS 69805

Endolymphatic Sac W/O Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,391.00 / $4,341.45 / $10,746.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.80 / $1,249.93 / $1,318.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,171.00 / $5,998.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.74 / $1,308.64 / $2,132.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.51 / $1,448.57 / $2,226.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,679.24 / $16,547.20 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,569.23 / $8,569.23 / $8,633.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,728.00 / $10,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.77 / $1,523.29 / $2,342.56