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Alabama rates for HCPCS 30920

Ligation arteries; internal maxillary artery, transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,445.44 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $977.24 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,548.13 / $4,786.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,071.52 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,630.78 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $1,348.96