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North Dakota rates for HCPCS 30920

Ligation arteries; internal maxillary artery, transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $933.25 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $933.25 / $1,288.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,862.09 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,659.59 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,348.96 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,479.11 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,128.61 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,479.11 / $2,137.96