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Florida rates for HCPCS 30920

Ligation arteries; internal maxillary artery, transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $4,570.88 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $933.25 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,584.89 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,148.15 / $1,949.84
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $8,317.64 / $16,595.87
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $588.84 / $812.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $7,585.78 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $954.99 / $1,737.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $776.25