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Wisconsin rates for HCPCS 69806

Endolymphatic Sac Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.91 / $1,880.80 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.23 / $859.91 / $3,276.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.55 / $2,390.27 / $5,230.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,416.80 / $2,824.23 / $4,555.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.51 / $2,658.00 / $3,819.70
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.91 / $1,257.97 / $2,669.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.50 / $5,266.00 / $15,126.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.24 / $2,226.40 / $5,920.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $563.66 / $1,882.18
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.91 / $1,265.08 / $2,669.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,795.30 / $2,772.22 / $3,265.51
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,547.20 / $16,547.20 / $16,547.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.24 / $4,452.80 / $10,284.73
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,558.29 / $2,558.29 / $2,558.29
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,873.02 / $5,192.01 / $5,192.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,217.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.67 / $2,728.81 / $4,351.50