go back

Massachusetts rates for HCPCS 30920

Ligation Arteries Int Maxillary Transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,733.00 / $4,712.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.54 / $855.11 / $2,070.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.00 / $5,268.00 / $15,220.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.85 / $1,664.56 / $6,691.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.23 / $1,864.48 / $3,384.08
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.46 / $1,880.96 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.41 / $1,257.82 / $2,088.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.69 / $2,135.38 / $2,845.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,104.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.95 / $1,868.09 / $6,691.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.25 / $1,268.41 / $2,826.41