go back

Missouri rates for HCPCS 30920

Ligation arteries; internal maxillary artery, transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $3,715.35 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $2,187.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $870.96 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $1,122.02 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,344.23 / $26,302.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,202.26 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,047.13 / $1,737.80