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Wyoming rates for HCPCS 69805

Endolymphatic Sac W/O Shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.58 / $1,049.58 / $1,049.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,675.00 / $3,350.00 / $4,020.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.45 / $1,742.76 / $2,444.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.65 / $2,609.52 / $4,188.35