go back

Massachusetts rates for HCPCS 30920

Ligation arteries; internal maxillary artery, transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,311.31 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $954.99 / $2,344.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,495.41 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,202.26 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,659.59 / $3,162.28
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,698.24 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,148.15 / $1,778.28
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,513.56 / $2,454.71
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,495.41 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,202.26 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,248.07 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,288.25 / $2,754.23