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Arizona rates for HCPCS 30920

Ligation arteries; internal maxillary artery, transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,890.45 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $2,344.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $812.83 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $1,778.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,412.54 / $6,918.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $977.24 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,073.80 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $870.96 / $1,659.59