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Virginia rates for HCPCS 69805

Endolymphatic Sac W/O Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.24 / $6,146.00 / $14,798.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.73 / $1,167.24 / $1,269.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.71 / $1,218.30 / $1,670.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.10 / $1,620.16 / $9,211.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.52 / $1,375.99 / $2,541.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.30 / $1,171.56 / $1,444.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.72 / $1,388.96 / $2,015.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.00 / $1,472.00 / $2,418.79
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.83 / $1,383.35 / $6,585.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.83 / $1,383.35 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.67 / $1,412.06 / $2,246.94