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Maine rates for HCPCS 69806

Endolymphatic Sac Shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.37 / $897.37 / $1,085.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.11 / $1,222.44 / $1,765.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.71 / $1,314.08 / $2,024.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.77 / $1,317.24 / $2,020.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.37 / $897.37 / $1,085.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.67 / $1,330.69 / $1,853.87