go back

Maryland rates for HCPCS 30920

Ligation arteries; internal maxillary artery, transantral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,000.00 / $2,344.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $912.01 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,122.02 / $2,290.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $933.25 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $1,737.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,047.13 / $1,258.93