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Vermont rates for HCPCS 69805

Endolymphatic Sac W/O Shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.23 / $1,163.23 / $5,424.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.53 / $1,540.98 / $3,724.36
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.52 / $1,557.10 / $3,724.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.21 / $1,455.17 / $4,571.24