go back

North Carolina rates for HCPCS 30920

Ligation Arteries Int Maxillary Transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.12 / $1,338.00 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.12 / $864.12 / $1,737.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.19 / $1,479.28 / $2,253.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.72 / $1,299.03 / $2,209.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.12 / $1,057.74 / $2,162.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.08 / $1,029.08 / $2,112.21
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,133.59 / $2,289.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,437.46 / $9,447.00 / $14,589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.55 / $1,087.32 / $2,373.08
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,799.10 / $9,011.04 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,691.93 / $6,691.93 / $7,312.65