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Pennsylvania rates for HCPCS 69806

Endolymphatic sac operation; with shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $5,254.00 / $10,398.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.15 / $901.56 / $1,177.82
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.14 / $1,308.59 / $1,763.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.57 / $1,194.05 / $1,870.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.59 / $1,433.30 / $1,442.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,937.21 / $13,937.21 / $13,937.21
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,511.00 / $11,083.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.15 / $969.66 / $4,870.39
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,159.20 / $2,391.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.48 / $1,194.05 / $1,999.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.67 / $905.67 / $1,196.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.59 / $905.68 / $1,196.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.98 / $1,123.40 / $1,804.56