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Utah rates for HCPCS 69805

Endolymphatic Sac W/O Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.04 / $4,387.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.60 / $1,216.04 / $3,231.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.96 / $1,511.75 / $2,936.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $673.01 / $967.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.97 / $1,773.68 / $2,642.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.49 / $1,151.55 / $2,191.00