go back

Minnesota rates for HCPCS 30920

Ligation Arteries Int Maxillary Transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.54 / $928.54 / $6,955.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.54 / $928.54 / $1,292.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,609.97 / $6,498.38 / $12,890.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.68 / $2,285.91 / $3,217.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.98 / $3,051.78 / $7,341.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,722.61 / $2,934.34 / $4,132.79
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.41 / $2,790.06 / $5,780.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.60 / $2,595.35 / $3,439.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.63 / $1,706.70 / $8,153.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.68 / $2,209.13 / $4,750.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.68 / $2,101.75 / $3,406.19