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Minnesota rates for HCPCS 30920

Ligation arteries; internal maxillary artery, transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $977.24 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $7,413.10 / $22,387.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,949.84 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,235.94 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,691.53 / $4,073.80
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,090.30 / $6,025.60
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,290.87 / $3,467.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,737.80 / $9,332.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,737.80 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $6,025.60 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,737.80 / $3,467.37