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Washington, DC rates for HCPCS 30920

Ligation arteries; internal maxillary artery, transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,073.80 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,047.13 / $2,344.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $2,818.38 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $2,344.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $870.96 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $12,882.50 / $26,915.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,047.13 / $2,290.87