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Montana rates for HCPCS 69806

Endolymphatic sac operation; with shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.24 / $4,870.39 / $4,870.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.15 / $1,460.15 / $1,460.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.84 / $1,460.15 / $1,585.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.70 / $1,630.20 / $1,771.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.57 / $1,337.49 / $1,929.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.08 / $1,561.14 / $2,570.58