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Utah rates for HCPCS 69806

Endolymphatic Sac Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.65 / $4,387.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.65 / $1,088.65 / $1,654.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.79 / $1,358.69 / $2,626.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $578.95 / $870.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.41 / $1,594.35 / $2,367.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.18 / $1,082.00 / $1,963.21