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Kentucky rates for HCPCS 30920

Ligation arteries; internal maxillary artery, transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,778.28 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $954.99 / $1,318.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,801.89 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $812.83 / $1,122.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,071.52 / $1,258.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,071.52 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,445.44 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,318.26 / $4,365.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $3,890.45 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $1,584.89