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Mississippi rates for HCPCS 30920

Ligation Arteries Int Maxillary Transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.00 / $1,502.00 / $2,194.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.80 / $1,957.93 / $2,194.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.60 / $1,743.60 / $1,743.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.00 / $1,402.00 / $1,402.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.53 / $1,643.53 / $3,776.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.18 / $1,107.16 / $1,580.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,717.00 / $7,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.10 / $1,044.08 / $2,047.05