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Indiana rates for HCPCS 30920

Ligation arteries; internal maxillary artery, transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,897.79 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $954.99 / $1,513.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $13,803.84 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $1,445.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $870.96 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,380.38 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,023.29 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $7,762.47 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $912.01 / $1,445.44