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North Dakota rates for HCPCS 30920

Ligation Arteries Int Maxillary Transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.45 / $849.45 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.45 / $849.45 / $928.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.76 / $1,855.90 / $2,216.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.20 / $2,069.96 / $2,673.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.45 / $1,230.57 / $2,548.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.70 / $1,558.32 / $2,209.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.40 / $1,651.64 / $2,209.13