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Montana rates for HCPCS 30920

Ligation Arteries Int Maxillary Transantral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.41 / $4,485.72 / $4,485.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.96 / $1,384.96 / $1,384.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.72 / $1,384.96 / $1,386.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.51 / $1,417.65 / $1,540.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.54 / $1,272.94 / $1,836.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.04 / $1,417.65 / $2,443.85