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Alabama rates for HCPCS 30920

Ligation Arteries Int Maxillary Transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $1,399.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.90 / $1,429.76 / $1,429.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,890.20 / $3,507.39 / $4,718.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.99 / $1,063.00 / $1,254.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.87 / $941.02 / $2,961.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.00 / $3,384.00 / $5,251.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.28 / $830.73 / $1,322.78